Maranda Wallace
NPI #1003793761 in Lincolnton, North Carolina
Provider Information
- NPI Number
- 1003793761
- Entity Type
- Individual
- Name
- Maranda Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 16, 2025
- Last Updated
- Aug 16, 2025
Practice Location
- Address
- 124 E SYCAMORE ST
- City
- Lincolnton
- State
- North Carolina
- ZIP Code
- 28092-2746
- Phone
- (704) 466-0162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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