KATHLEEN MICHELLE WALLACE

RUSSELLVILLE, AR
NPI1508185307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  P1507083)
Enumeration Date2010-05-19
Last Update Date2016-02-15
Business Address
-- KATHLEEN MICHELLE WALLACE LPC, NCC
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
Mailing Address
-- KATHLEEN MICHELLE WALLACE LPC, NCC
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-967-5570
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