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1184921496
MYRIAH DAWN WALLACE
WEST PLAINS, MO
NPI
1184921496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2011008967)
Enumeration Date
2011-02-23
Last Update Date
2020-04-14
Business Address
Mrs. MYRIAH DAWN WALLACE LPC
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775-1826
Phone number: 417-257-6762
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Mailing Address
Mrs. MYRIAH DAWN WALLACE LPC
PO BOX 1100
WEST PLAINS, MO 65775-1100
Phone number: 417-257-6762
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