MALCOLM LOUIS WALLACE

SAN FRANCISCO, CA
NPI1053473884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-12-15
Last Update Date2016-02-02
Business Address
-- MALCOLM LOUIS WALLACE
982 MISSION ST
SAN FRANCISCO, CA 94103-2911
Phone number: 415-597-8000
Mailing Address
-- MALCOLM LOUIS WALLACE
1517 MACARTHUR BLVD 7
OAKLAND, CA 94602-1264
Phone number: 408-910-8252
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