MARQUITA LATRICE WALLS

GROVER, NC
NPI1821631532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
MARQUITA LATRICE WALLS
1565 LONGBRANCH RD
GROVER, NC 28073-9599
Phone number: 704-915-0282
Mailing Address
MARQUITA LATRICE WALLS
1840 YELLOWSTONE CT APT B
GASTONIA, NC 28054-1770
Phone number: 704-915-0282
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