MISS Aja N Wallace
NPI #1073173761 in Lumberton, New Jersey
Provider Information
- NPI Number
- 1073173761
- Entity Type
- Individual
- Name
- MISS Aja N Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 16, 2019
- Last Updated
- Jun 16, 2019
Practice Location
- Address
- 79 CHESTNUT ST
- City
- Lumberton
- State
- New Jersey
- ZIP Code
- 08048-1134
- Phone
- (609) 518-5470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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