Wallace, Stefanie

Wallace, Stefanie is an sole proprietor health care provider with primary practice located at 7954 University Ave Ne , Fridley MN 55432-1860. 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, Stefanie can be contacted via phone (763) 780-3036.

Contact Information

Primary practice address
7954 University Ave Ne Fridley MN 55432-1860
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3103 Minnesota

Profile Details

NPI number 1972983682
LBN Legal business name Wallace, Stefanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2015
Last updated Feb 22nd, 2017 - about 8 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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