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1497866370
INGRID WALLACE
WAUWATOSA, WI
NPI
1497866370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3065-125)
Enumeration Date
2006-08-31
Last Update Date
2007-07-09
Business Address
Mrs. INGRID WALLACE L.P.C., C.R.C.
2525 N MAYFAIR RD SUITE 200
WAUWATOSA, WI 53226-1403
Phone number: 414-476-8183
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Mailing Address
Mrs. INGRID WALLACE L.P.C., C.R.C.
2525 N MAYFAIR RD SUITE 200
WAUWATOSA, WI 53226-1403
Phone number: 414-476-8183
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