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1255821286
ALICIA D WALLACE
DENTON, TX
NPI
1255821286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 74421)
Enumeration Date
2018-05-15
Last Update Date
2023-01-31
Business Address
ALICIA D WALLACE LPC
3312 TEASLEY LN
DENTON, TX 76210-8311
Phone number: 402-222-3999
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Mailing Address
ALICIA D WALLACE LPC
9021 BENEVOLENT CT
AUBREY, TX 76227-1303
Phone number: 903-821-8786
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