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1033532452
ASHLEY D WALLACE
SPRINGFIELD, MO
NPI
1033532452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2014001278)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- ASHLEY D WALLACE M.S., PLPC
777 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4807
Phone number: 417-597-4572
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Mailing Address
-- ASHLEY D WALLACE M.S., PLPC
777 E BATTLEFIELD ST
SPRINGFIELD, MO 65807-4807
Phone number: 417-597-4572
Copy
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