JORGE WALLACE

SAINT LOUIS, MO
NPI1164852422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2011039643)
Enumeration Date2013-11-22
Last Update Date2016-05-26
Business Address
-- JORGE WALLACE PLPC
6532 BARTMER AVE 2E
SAINT LOUIS, MO 63130-2630
Phone number: 314-299-5284
Mailing Address
-- JORGE WALLACE PLPC
6532 BARTMER AVE 2E
SAINT LOUIS, MO 63130-2630
Phone number: 314-299-5284
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