AMANDA ROCHELLE WALLACE

CORVALLIS, OR
NPI1245030659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-03-14
Last Update Date2025-03-14
Business Address
AMANDA ROCHELLE WALLACE
885 NW GRANT AVE
CORVALLIS, OR 97330-4578
Phone number: 541-752-2703
Mailing Address
AMANDA ROCHELLE WALLACE
885 NW GRANT AVE
CORVALLIS, OR 97330-4578
Phone number: 541-752-2703
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