KRISTIN WALLACE

MADISON, MS
NPI1154931129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  M8300)
Enumeration Date2020-08-05
Last Update Date2020-08-05
Business Address
KRISTIN WALLACE
940 EBENEZER BLVD
MADISON, MS 39110-6002
Phone number: 601-790-0583
Mailing Address
KRISTIN WALLACE
437 PIN OAK DR
MADISON, MS 39110-9365
Phone number:
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