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1033591045
MARIE RENEE WALLACE
CHICO, CA
NPI
1033591045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-06-25
Last Update Date
2022-05-12
Business Address
MARIE RENEE WALLACE
289 RIO LINDO AVE
CHICO, CA 95926-1973
Phone number: 530-896-1920
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Mailing Address
MARIE RENEE WALLACE
289 RIO LINDO AVE
CHICO, CA 95926-1973
Phone number: 530-896-1920
Copy
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