JENNIFER M. WALLACE CANOBBIO

SANTA CRUZ, CA
NPI1396082434
Former NameJENNIFER M WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW33242)
Enumeration Date2013-01-09
Last Update Date2013-01-09
Business Address
-- JENNIFER M. WALLACE CANOBBIO MSW, ASW
627 CABRILLO AVE
SANTA CRUZ, CA 95065-1107
Phone number: 408-821-6832
Mailing Address
-- JENNIFER M. WALLACE CANOBBIO MSW, ASW
627 CABRILLO AVE
SANTA CRUZ, CA 95065-1107
Phone number: 408-821-6832
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