Wallace, Stephanie Dawn
Wallace, Stephanie Dawn is an individual health care provider with primary practice located at 1203 Maple St , Greensboro NC 27405-6910. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wallace, Stephanie Dawn can be contacted via phone (336) 641-6370.Contact Information
Primary practice address
1203 Maple St
Greensboro NC 27405-6910
Phone: (336) 641-6370
Fax: (336) 641-6693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1780807727 |
|---|---|
| LBN Legal business name | Wallace, Stephanie Dawn |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Aug 23rd, 2007 - about 17 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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