Lacey L Wallace
Lacey L Wallace is a Counselor in Charlotte, North Carolina. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6926 Shannon Willow Rd Ste 400Charlotte, NC 28226-1335
Phone: (704) 981-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1669197638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2022 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | October 11, 2022 |
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