ELAINE MARIE WALLACE

GLEN BURNIE, MD
NPI1962084574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MD  LC13561)
Enumeration Date2021-04-22
Last Update Date2023-08-29
Business Address
Mrs. ELAINE MARIE WALLACE LCPC
204 SOMERSET BAY DR APT 201
GLEN BURNIE, MD 21061-6476
Phone number: 410-903-8473
Mailing Address
Mrs. ELAINE MARIE WALLACE LCPC
204 SOMERSET BAY DR APT 201
GLEN BURNIE, MD 21061-6476
Phone number: 410-903-8473