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1447953435
QUANESHA WALLACE
VIRGINIA BEACH, VA
NPI
1447953435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0704014373)
Enumeration Date
2023-03-27
Last Update Date
2023-09-07
Business Address
QUANESHA WALLACE LPC-R
3143 MAGIC HOLLOW BLVD STE 100
VIRGINIA BEACH, VA 23453-3077
Phone number: 757-385-6940
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Mailing Address
QUANESHA WALLACE LPC-R
1801 HIGH ST
PORTSMOUTH, VA 23704-3105
Phone number: 804-551-4292
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