PATRICIA A WALLACE

CAMARILLO, CA
NPI1447553300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  040970)
Enumeration Date2010-12-15
Last Update Date2010-12-15
Business Address
-- PATRICIA A WALLACE CATC
450 ROSEWOOD AVE SUITE215
CAMARILLO, CA 93010-5914
Phone number: 805-482-1265
Mailing Address
-- PATRICIA A WALLACE CATC
450 ROSEWOOD AVE SUITE215
CAMARILLO, CA 93010-5914
Phone number: 805-482-1265
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