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1043741069
KRISTIN ELISE WALLACE
ST PETERSBURG, FL
NPI
1043741069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14177)
Enumeration Date
2017-03-22
Last Update Date
2023-07-06
Business Address
KRISTIN ELISE WALLACE LMHC
3840 5TH AVE N
ST PETERSBURG, FL 33713-7521
Phone number: 727-732-0864
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Mailing Address
KRISTIN ELISE WALLACE LMHC
3840 5TH AVE N
ST PETERSBURG, FL 33713-7521
Phone number:
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