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1083297774
MYKALA R WALLACE
FAYETTEVILLE, AR
NPI
1083297774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 10102-M)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
Ms. MYKALA R WALLACE LMSW
885 W CLYDESDALE DR
FAYETTEVILLE, AR 72701-8209
Phone number: 479-444-1670
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Mailing Address
Ms. MYKALA R WALLACE LMSW
885 W CLYDESDALE DR
FAYETTEVILLE, AR 72701-8209
Phone number: 479-444-1670
Copy
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