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1417564477
REBECCA WALLACE
COLUMBIA, MO
NPI
1417564477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2018039326)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
REBECCA WALLACE LPC
207 PEACH WAY
COLUMBIA, MO 65203-4905
Phone number: 573-777-8775
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Mailing Address
REBECCA WALLACE LPC
1800 N GARTH AVE
COLUMBIA, MO 65202-1547
Phone number: 314-308-0946
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