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1528848926
STEVEN LANE WALLACE
RICHLAND, WA
NPI
1528848926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61453392)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
Mr. STEVEN LANE WALLACE
750 GEORGE WASHINGTON WAY STE 8
RICHLAND, WA 99352-4247
Phone number: 509-593-3322
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Mailing Address
Mr. STEVEN LANE WALLACE
9808 WINTHROP DR
PASCO, WA 99301-6106
Phone number: 509-593-3322
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