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1255924544
COURTNEE WALLACE
RIVIERA BEACH, FL
NPI
1255924544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
COURTNEE WALLACE
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404-5003
Phone number: 561-906-3207
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Mailing Address
COURTNEE WALLACE
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404-5003
Phone number: 561-906-3207
Copy
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