Elizabeth Wallace's National Provider Identifier (NPI) Details
Elizabeth Wallace, RN, LPC
NPI: 1376783118
Enumeration Date: 2009-03-05
Last updated: 2009-03-05
Sole Proprietor: YES
Status: active
Postal Address: 360 E KILLARNEY LK, MOORE, SC
Phone: 864-804-8381
Primary Practice Address: 429 N CHURCH ST, SPARTANBURG, SC
Practice's phone: 864-597-4371