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1194251173
DEBORAH WALLACE
WEST SACRAMENTO, CA
NPI
1194251173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-05-11
Last Update Date
2022-05-26
Business Address
DEBORAH WALLACE
3050 BEACON BLVD STE 103
WEST SACRAMENTO, CA 95691-3467
Phone number: 916-462-3100
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Mailing Address
DEBORAH WALLACE
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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