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Alicia Wallace, LCPC
NPI 1720370570 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3718 Milford Mill Rd
Windsor Mill, MD 21244 - Phone
- (443) 801-8732
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland