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1447925268
ERICA WALLACE
THOUSAND OAKS, CA
NPI
1447925268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2021-08-13
Last Update Date
2022-09-12
Business Address
ERICA WALLACE
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360-4462
Phone number: 805-777-3500
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Mailing Address
ERICA WALLACE
7050 VASSAR AVE UNIT 16
CANOGA PARK, CA 91303-3533
Phone number: 636-373-4604
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