ANGELA D WALLACE

SHAWNEE, OK
NPI1114204450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
-- ANGELA D WALLACE
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-878-1135
Mailing Address
-- ANGELA D WALLACE
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-878-1135
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