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1023328051
KELSEY MARIE WALLACE
DES MOINES, IA
NPI
1023328051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 001328)
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
Ms. KELSEY MARIE WALLACE MS, LMHC
3115 DOUGLAS AVE
DES MOINES, IA 50310-5307
Phone number: 515-235-4720
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Mailing Address
Ms. KELSEY MARIE WALLACE MS, LMHC
100 E EUCLID AVE SUITE 143
DES MOINES, IA 50313-4511
Phone number: 515-256-8001
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