CONSTANCE WALLACE

ATLANTA, GA
NPI1902036452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC005431)
Enumeration Date2009-07-18
Last Update Date2009-07-18
Business Address
-- CONSTANCE WALLACE M.S., LPC
1222 LINCOLN COURT AVE NE
ATLANTA, GA 30329-1825
Phone number: 678-641-4415
Mailing Address
-- CONSTANCE WALLACE M.S., LPC
1222 LINCOLN COURT AVE NE
ATLANTA, GA 30329-1825
Phone number: 678-641-4415
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