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1013253319
ANGELINA VICTORIA WALLACE
NASHVILLE, TN
NPI
1013253319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
Mrs. ANGELINA VICTORIA WALLACE
1921 RANSOM PL
NASHVILLE, TN 37217-3841
Phone number: 615-460-4357
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Mailing Address
Mrs. ANGELINA VICTORIA WALLACE
8215 HALEY RD
COLLEGE GROVE, TN 37046-9112
Phone number:
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