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1205381787
DIERDRE WALLACE
OAKLAND, CA
NPI
1205381787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-24
Last Update Date
2018-04-10
Business Address
DIERDRE WALLACE
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
DIERDRE WALLACE
2326 FRUITVALE AVE
OAKLAND, CA 94601-2534
Phone number:
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