MIKELIA WALLACE

PORTLAND, OR
NPI1497469597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225A00000X Music Therapist
(Licence:   16398)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
MIKELIA WALLACE MT-BC
12608 SE ALDER ST APT 60
PORTLAND, OR 97233-1688
Phone number: 352-303-5352
Mailing Address
MIKELIA WALLACE MT-BC
12608 SE ALDER ST APT 60
PORTLAND, OR 97233-1688
Phone number: 352-303-5352
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