LULA WALLACE

BALTIMORE, MD
NPI1821874389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ACO333)
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
LULA WALLACE CAC-AD
821 N EUTAW ST
BALTIMORE, MD 21201-4648
Phone number: 410-225-9185
Mailing Address
LULA WALLACE CAC-AD
4108 FALLSTAFF RD
BALTIMORE, MD 21215-1411
Phone number: 443-660-9929
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