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1093037384
KERRY MICHAEL WALLIS
BOCA RATON, FL
NPI
1093037384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 10146)
Enumeration Date
2010-02-27
Last Update Date
2010-02-27
Business Address
-- KERRY MICHAEL WALLIS LMHC, CAP
1200 N FEDERAL HWY
BOCA RATON, FL 33432-2803
Phone number: 561-210-8300
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Mailing Address
-- KERRY MICHAEL WALLIS LMHC, CAP
1200 N FEDERAL HWY
BOCA RATON, FL 33432-2803
Phone number: 561-210-8300
Copy
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