TRACIE WALLACE

SAINT LOUIS, MO
NPI1306224613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2012029763)
Enumeration Date2015-05-07
Last Update Date2015-05-07
Business Address
-- TRACIE WALLACE LPC
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141-6323
Phone number: 314-469-5522
Mailing Address
-- TRACIE WALLACE LPC
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141-6323
Phone number: 314-469-5522
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