BONITA LUCILLE WALLACE

ATLANTA, GA
NPI1912364787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  1823)
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
Mrs. BONITA LUCILLE WALLACE LPC
550 PHARR RD NE SUITE 605
ATLANTA, GA 30305-3428
Phone number: 404-664-6398
Mailing Address
Mrs. BONITA LUCILLE WALLACE LPC
550 PHARR RD NE SUITE 605
ATLANTA, GA 30305-3428
Phone number: 404-664-6398
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