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1063923357
CHRISTOPHER WALLACE
OREM, UT
NPI
1063923357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 115169-3902)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
CHRISTOPHER WALLACE LMFT
1790 N STATE ST
OREM, UT 84057-2025
Phone number: 801-224-8255
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Mailing Address
CHRISTOPHER WALLACE LMFT
1790 N STATE ST
OREM, UT 84057-2025
Phone number: 801-224-8255
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