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1043866411
WANDA DANNETTE WALLACE
PENSACOLA, FL
NPI
1043866411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13939)
Enumeration Date
2019-08-12
Last Update Date
2019-08-20
Business Address
Dr. WANDA DANNETTE WALLACE DSW, LCSW
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514-9421
Phone number: 850-380-8320
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Mailing Address
Dr. WANDA DANNETTE WALLACE DSW, LCSW
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514-9421
Phone number: 850-380-8320
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