ALEXIS D WALLACE

SOMERSET, KY
NPI1912688797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: KY  1207173)
Enumeration Date2023-07-26
Last Update Date2023-07-26
Business Address
ALEXIS D WALLACE CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
Mailing Address
ALEXIS D WALLACE CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
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