Ann Millsaps Wallace
NPI #1083915656 in Columbus, Mississippi
Provider Information
- NPI Number
- 1083915656
- Entity Type
- Individual
- Name
- Ann Millsaps Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Nov 12, 2010
- Last Updated
- Nov 12, 2010
Practice Location
- Address
- 455 DICKERSON LN
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-1648
- Phone
- (662) 327-1575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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