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1073995866
SAMALA WALLACK
KANSAS CITY, MO
NPI
1073995866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2015008989)
Enumeration Date
2015-06-29
Last Update Date
2021-06-25
Business Address
SAMALA WALLACK LPC
300 W 19TH TER
KANSAS CITY, MO 64108-2026
Phone number: 816-404-5700
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Mailing Address
SAMALA WALLACK LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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