KRYSTAL JACQUELYN WALLACE

NEW ALBANY, IN
NPI1295438893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101Y00000X Counselor
103K00000X Behavior Analyst
Enumeration Date2023-03-23
Last Update Date2023-03-23
Business Address
KRYSTAL JACQUELYN WALLACE MS MA BC
618 E MARKET ST
NEW ALBANY, IN 47150-2914
Phone number: 502-579-1278
Mailing Address
KRYSTAL JACQUELYN WALLACE MS MA BC
2704 ALLSTON AVE
LOUISVILLE, KY 40210-2004
Phone number: 708-699-5619
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