KIMBERLEY R WALLACE

LONGVIEW, TX
NPI1205677150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17017)
Enumeration Date2024-06-04
Last Update Date2024-06-05
Business Address
KIMBERLEY R WALLACE LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
Mailing Address
KIMBERLEY R WALLACE LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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