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1275902462
ELIZABETH WALLACE
AUSTIN, TX
NPI
1275902462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 71945)
Enumeration Date
2015-09-18
Last Update Date
2015-09-18
Business Address
-- ELIZABETH WALLACE
111 W ANDERSON LN SUITE D197
AUSTIN, TX 78752-1132
Phone number: 508-932-8926
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Mailing Address
-- ELIZABETH WALLACE
111 W ANDERSON LN SUITE D197
AUSTIN, TX 78752-1132
Phone number: 508-932-8926
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