ANTHONY WALLACE

CORAL GABLES, FL
NPI1174025985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-03-07
Last Update Date2018-03-07
Business Address
Mr. ANTHONY WALLACE Master
2222 PONCE DE LEON BLVD FL 3
CORAL GABLES, FL 33134-5039
Phone number: 866-305-7365
Mailing Address
Mr. ANTHONY WALLACE Master
2222 PONCE DE LEON BLVD FL 3
CORAL GABLES, FL 33134-5039
Phone number: 866-305-7365
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