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1528573524
CYNTHIA WALLACE
GRAND ISLAND, NE
NPI
1528573524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 11320)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
CYNTHIA WALLACE PLMHP
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number: 308-385-5250
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Mailing Address
CYNTHIA WALLACE PLMHP
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number:
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