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1326353442
VICTORIA WALLACE
MONROE, LA
NPI
1326353442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 6772)
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
Mrs. VICTORIA WALLACE LCSW
112 DESIRABLE LANE
MONROE, LA 71203
Phone number: 318-651-9866
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Mailing Address
Mrs. VICTORIA WALLACE LCSW
112 DESIRABLE LANE
MONROE, LA 71203
Phone number: 318-651-9866
Copy
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