LORETTA WALLACE

NEW YORK, NY
NPI1932043957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  41880)
Enumeration Date2026-04-18
Last Update Date2026-04-18
Business Address
LORETTA WALLACE
60 E 112TH ST APT 402
NEW YORK, NY 10029-0314
Phone number: 646-245-7639
Mailing Address
LORETTA WALLACE
60 E 112TH ST APT 402
NEW YORK, NY 10029-0314
Phone number: 646-245-7639
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