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1083130827
CATHERINE JESSICA WALLACE
SHERMAN OAKS, CA
NPI
1083130827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 34791)
Enumeration Date
2017-08-14
Last Update Date
2024-08-13
Business Address
CATHERINE JESSICA WALLACE
13130 BURBANK BLVD
SHERMAN OAKS, CA 91401-6037
Phone number: 818-731-0360
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Mailing Address
CATHERINE JESSICA WALLACE
4001 STATE HWY 104
IONE, CA 95640
Phone number: 209-274-4911
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