Alicia A Wallace, M.ED
NPI #1356539217 in Keene, New Hampshire
Provider Information
- NPI Number
- 1356539217
- Entity Type
- Individual
- Name
- Alicia A Wallace, M.ED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- M.ED
- Enumeration Date
- Oct 4, 2007
- Last Updated
- Oct 4, 2007
Practice Location
- Address
- 17 93RD ST
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-3748
- Phone
- (603) 357-5270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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