THOMAS WALLACE

VISALIA, CA
NPI1275945354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-05-23
Last Update Date2016-03-07
Business Address
-- THOMAS WALLACE
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
Mailing Address
-- THOMAS WALLACE
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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