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1124743984
LORAN PAIGE WALLACE
SCOTTSDALE, AZ
NPI
1124743984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-21109)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
LORAN PAIGE WALLACE LPC
10613 N HAYDEN RD STE J-103
SCOTTSDALE, AZ 85260-5683
Phone number: 281-714-5779
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Mailing Address
LORAN PAIGE WALLACE LPC
7720 E HEATHERBRAE AVE UNIT 23
SCOTTSDALE, AZ 85251-4052
Phone number: 281-714-5779
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