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1417331679
JUSTIN MATTHEW WALLACE
FRESNO, CA
NPI
1417331679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT95974)
Enumeration Date
2015-07-16
Last Update Date
2024-09-05
Business Address
-- JUSTIN MATTHEW WALLACE LMFT
1322 E SHAW AVE STE 410
FRESNO, CA 93710-7904
Phone number: 559-226-1316
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Mailing Address
-- JUSTIN MATTHEW WALLACE LMFT
1322 E SHAW AVE STE 410
FRESNO, CA 93710-7904
Phone number: 559-226-1316
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