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1316468523
CAROLE WALLACE
SAN LUIS OBISPO, CA
NPI
1316468523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
CAROLE WALLACE
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
CAROLE WALLACE
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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