HEATHER BLAKE WALLACE

CHEYENNE, WY
NPI1225812084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
HEATHER BLAKE WALLACE MS
623 W 20TH ST
CHEYENNE, WY 82001-3501
Phone number: 307-426-4622
Mailing Address
HEATHER BLAKE WALLACE MS
623 W 20TH ST
CHEYENNE, WY 82001-3501
Phone number:
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