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1083365811
DONNA LOUISE MARTIN-WALLACE
BURNSVILLE, MN
NPI
1083365811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN cc03103)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337-7822
Phone number: 952-224-8990
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Mailing Address
DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN
14024 NATCHEZ AVE
SAVAGE, MN 55378-2002
Phone number: 612-220-3247
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