MS. Susan Wallace
NPI #1386508422 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1386508422
- Entity Type
- Individual
- Name
- MS. Susan Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 12, 2025
- Last Updated
- Dec 22, 2025
Practice Location
- Address
- 122 CLEBOURNE ST
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29715-1753
- Phone
- (704) 931-1010
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