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1255768842
IZELLA WALLS
LAKELAND, FL
NPI
1255768842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-27
Last Update Date
2013-10-02
Business Address
-- IZELLA WALLS
4425 JAMIE CT 208
LAKELAND, FL 33813-3138
Phone number: 754-423-9876
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Mailing Address
-- IZELLA WALLS
4425 JAMIE CT #208
LAKELAND, FL 33813-3138
Phone number: 175-423-9876
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