JOANNA WALLACE

GASTON, SC
NPI1760989537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2018-04-09
Last Update Date2018-04-15
Business Address
JOANNA WALLACE
241 WOODCOTE DR
GASTON, SC 29053-8479
Phone number: 803-397-6902
Mailing Address
JOANNA WALLACE
241 WOODCOTE DR
GASTON, SC 29053-8479
Phone number:
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