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1033533617
STEPHANIE WALLACE
RIVIERA BEACH, FL
NPI
1033533617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
-- STEPHANIE WALLACE MSW
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404-5003
Phone number: 561-729-3877
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Mailing Address
-- STEPHANIE WALLACE MSW
1401 14TH WAY
WEST PALM BEACH, FL 33407-6634
Phone number: 561-729-3877
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