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1366597635
WILLIAM L WALLACE
SANTA MONICA, CA
NPI
1366597635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY6312)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM L WALLACE PhD
1448 15TH ST SUITE 203
SANTA MONICA, CA 90404-2756
Phone number: 310-451-2107
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Mailing Address
Dr. WILLIAM L WALLACE PhD
1448 15TH ST SUITE 203
SANTA MONICA, CA 90404-2756
Phone number: 310-451-2107
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