REBECCA ELIZABETH WALLACE

SUMMERVILLE, SC
NPI1922702000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: SC  4797)
Enumeration Date2023-03-30
Last Update Date2023-11-19
Business Address
REBECCA ELIZABETH WALLACE LPES
1815 BACONS BRIDGE B12
SUMMERVILLE, SC 29485-2507
Phone number: 843-376-3112
Mailing Address
REBECCA ELIZABETH WALLACE LPES
10070 DORCHESTER RD UNIT 50017
SUMMERVILLE, SC 29485-2507
Phone number: 843-376-3112