AMANDA WALLACE

MELBOURNE, FL
NPI1467819276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-01-25
Last Update Date2023-03-10
Business Address
AMANDA WALLACE
4450 W EAU GALLIE BLVD SUITE 200
MELBOURNE, FL 32934-7213
Phone number: 321-726-2860
Mailing Address
AMANDA WALLACE
400 E SHERIDAN RD
MELBOURNE, FL 32901-3184
Phone number: 321-722-5200