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1003016320
DONNA K WALLACE
EDINBURG, TX
NPI
1003016320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 18857)
Enumeration Date
2007-07-24
Last Update Date
2007-07-24
Business Address
-- DONNA K WALLACE
1901 S 24TH AVE
EDINBURG, TX 78539-6533
Phone number: 956-289-7000
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Mailing Address
-- DONNA K WALLACE
5 BOCA CHICA BLVD STE 5
BROWNSVILLE, TX 78520-7863
Phone number: 956-289-7000
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