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1417435819
ANGELA WALLACE
SAINT LOUIS, MO
NPI
1417435819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2016034902)
Enumeration Date
2018-07-30
Last Update Date
2023-11-02
Business Address
ANGELA WALLACE LPC
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123-6966
Phone number: 314-898-0102
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Mailing Address
ANGELA WALLACE LPC
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123-6966
Phone number: 314-802-2647
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