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1154010551
SYDNEY L WALLACE
PHOENIX, AZ
NPI
1154010551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LAC-20532)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
SYDNEY L WALLACE LAC
3330 N 2ND ST STE 601
PHOENIX, AZ 85012-2395
Phone number: 602-230-7373
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Mailing Address
SYDNEY L WALLACE LAC
3101 N CENTRAL AVE STE 500
PHOENIX, AZ 85012-2639
Phone number: 602-230-7373
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