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1164287793
BARBARA WALLACE
HUNTSVILLE, AL
NPI
1164287793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL LICSW5597C)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
BARBARA WALLACE LICSW
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
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Mailing Address
BARBARA WALLACE LICSW
1131 EAGLETREE LN SW
HUNTSVILLE, AL 35801-6491
Phone number: 256-715-6199
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