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1225643679
SHAWNA NICOLE WALLACE
ORLANDO, FL
NPI
1225643679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2020-09-12
Last Update Date
2021-05-28
Business Address
Mrs. SHAWNA NICOLE WALLACE M.A.
773 S KIRKMAN RD STE 119
ORLANDO, FL 32811-2046
Phone number: 407-496-2192
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Mailing Address
Mrs. SHAWNA NICOLE WALLACE M.A.
1371 WINGED FOOT DR
APOPKA, FL 32712-2386
Phone number: 407-335-1704
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