Tanya B Wallace
Tanya B Wallace is a Counselor in Baldwin, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1068 Hastings StBaldwin, NY 11510-4741
Phone: (516) 943-1622
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1902588015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2023 |
| Last updated in NPPES | August 7, 2023 |
| Certification date | August 7, 2023 |
| Mailing address | 1068 Hastings St, Baldwin, NY 11510-4741 |
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