MARY WALLACE

VANCOUVER, WA
NPI1255760898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH61086337)
Additional Taxonomies101YM0800X Counselor, Mental Health
372600000X Adult Companion
Enumeration Date2013-11-04
Last Update Date2021-12-22
Business Address
MARY WALLACE
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-2216
Mailing Address
MARY WALLACE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: