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1912244369
ALYSEN JANAE WALLACE
CHARLOTTE, NC
NPI
1912244369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A9799)
Enumeration Date
2013-01-04
Last Update Date
2014-04-14
Business Address
Miss ALYSEN JANAE WALLACE MS, LPCA
9201 UNIVERSITY CITY BLVD
CHARLOTTE, NC 28223-0001
Phone number: 704-687-0040
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Mailing Address
Miss ALYSEN JANAE WALLACE MS, LPCA
9201 UNIVERSITY CITY BLVD
CHARLOTTE, NC 28223-0001
Phone number: 704-687-0040
Copy
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