MELANY A WALLACE

LONG BEACH, CA
NPI1003117284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  RI-W1009040752)
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
MS. MELANY A WALLACE
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639
Mailing Address
MS. MELANY A WALLACE
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639
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