Wallace, Denise Marie
Wallace, Denise Marie is an sole proprietor health care provider with primary practice located at 1315 Weatherbee Dr. , Winston-Salem NC 27103. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wallace, Denise Marie can be contacted via phone (919) 200-8734.Contact Information
Primary practice address
1315 Weatherbee Dr.
Winston-Salem NC 27103
Phone: (919) 200-8734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 10053A | North Carolina |
Profile Details
| NPI number | 1144607938 |
|---|---|
| LBN Legal business name | Wallace, Denise Marie |
| Credentials | LMFTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Sep 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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