BRANDY RAE MARIE WALLACE

YUCCA VALLEY, CA
NPI1457833428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  AMFT108839)
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
BRANDY RAE MARIE WALLACE
56970 YUCCA TRL STE 104
YUCCA VALLEY, CA 92284-7911
Phone number: 760-369-0294
Mailing Address
BRANDY RAE MARIE WALLACE
2010 BULLION DR
TWENTYNINE PALMS, CA 92277-5017
Phone number: 209-380-7932
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