NADINE ALEXANDRIA WALLACE

PRINCE FREDERICK, MD
NPI1871933705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
Ms. NADINE ALEXANDRIA WALLACE CAC-ADP
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678-3917
Phone number: 410-535-5400
Mailing Address
Ms. NADINE ALEXANDRIA WALLACE CAC-ADP
PO BOX 980
PRINCE FREDERICK, MD 20678-0980
Phone number: 410-535-5400
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