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1396082434
JENNIFER M. WALLACE CANOBBIO
SANTA CRUZ, CA
NPI
1396082434
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Former Name
JENNIFER M WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW33242)
Enumeration Date
2013-01-09
Last Update Date
2013-01-09
Business Address
-- JENNIFER M. WALLACE CANOBBIO MSW, ASW
627 CABRILLO AVE
SANTA CRUZ, CA 95065-1107
Phone number: 408-821-6832
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Mailing Address
-- JENNIFER M. WALLACE CANOBBIO MSW, ASW
627 CABRILLO AVE
SANTA CRUZ, CA 95065-1107
Phone number: 408-821-6832
Copy
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