MRS. Susan D. Wallace, MA, LCDCS is an addiction (substance use disorder) counselor in Pawtucket, RI. MRS. Susan D. Wallace, MA, LCDCS NPI is 1447375662. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
166 PAWTUCKET AVENUE
PAWTUCKET, RI
ZIP 02860-811
Phone: (401) 722-4644
Fax: (401) 722-4867
The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.