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1225315476
LINDSAY MICHELLE WALLACE
ANAHEIM, CA
NPI
1225315476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
Miss LINDSAY MICHELLE WALLACE RAS
321 N STATE COLLEGE BLVD
ANAHEIM, CA 92806-2915
Phone number: 714-687-0077
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Mailing Address
Miss LINDSAY MICHELLE WALLACE RAS
17279 MCFADDEN AVE APT A
TUSTIN, CA 92780-5577
Phone number: 562-243-5164
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