FANNIE BEATRICE WALLACE

HOT SPRINGS, AR
NPI1730628074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AR  P2205002)
Additional Taxonomies101Y00000X Counselor
(Licence: AR  A2005077)
Enumeration Date2017-02-20
Last Update Date2024-10-11
Business Address
FANNIE BEATRICE WALLACE LPC
104 SONNET ST
HOT SPRINGS, AR 71913-4437
Phone number: 501-553-5539
Mailing Address
FANNIE BEATRICE WALLACE LPC
PO BOX 1011
HOT SPRINGS, AR 71902-1011
Phone number: 501-553-5539