Donya Demesha Wallace, LPC
NPI #1558384164 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1558384164
- Entity Type
- Individual
- Name
- Donya Demesha Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 201 SHORT ST
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-3926
- Phone
- (842) 354-7324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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