CONCHITA WALLACE

SAVANNAH, GA
NPI1811754948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-24-331396)
Enumeration Date2024-03-05
Last Update Date2024-03-05
Business Address
CONCHITA WALLACE
3 JOHNSTON ST
SAVANNAH, GA 31405-5502
Phone number: 706-842-5330
Mailing Address
CONCHITA WALLACE
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330