CORY ALEXIS WALLACE

TIGARD, OR
NPI1447740238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-16
Last Update Date2021-03-30
Business Address
CORY ALEXIS WALLACE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
CORY ALEXIS WALLACE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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