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
Phone: (763) 780-3036
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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