Wallace, Alicia Angela
Wallace, Alicia Angela is an sole proprietor health care provider with primary practice located at 3718 Milford Mill Rd , Windsor Mill MD 21244-3718. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Alicia Angela can be contacted via phone (443) 801-8732.Contact Information
Primary practice address
3718 Milford Mill Rd
Windsor Mill MD 21244-3718
Phone: (443) 801-8732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2999 | Maryland |
Profile Details
| NPI number | 1720370570 |
|---|---|
| LBN Legal business name | Wallace, Alicia Angela |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2011 |
| Last updated | May 12th, 2011 - about 14 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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