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Joanna Wallace — NPI 1760989537, Gaston, SC | NPI Central

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Joanna Wallace

NPI 1760989537 · Early Intervention Provider Agency · Gaston, SC

Provider details

NPI number: 1760989537
Entity type: Individual
Primary specialty: Early Intervention Provider AgencyAgencies
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Early Intervention Provider AgencyPrimary252Y00000X
Agencies

Practice location

241 Woodcote Dr

Gaston, SC 29053-8479

Phone: (803) 397-6902

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

241 Woodcote Dr

Gaston, SC 29053-8479

Registry dates

Enumerated: 2018-04-09
Last updated: 2018-04-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.