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1538295142
TREVOR B. WALLACE
SACRAMENTO, CA
NPI
1538295142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 70088)
Enumeration Date
2007-02-26
Last Update Date
2012-04-18
Business Address
Mr. TREVOR B. WALLACE MFTI/IMF
6833 STOCKTON BLVD STE 485
SACRAMENTO, CA 95823-2372
Phone number: 916-394-0800
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Mailing Address
Mr. TREVOR B. WALLACE MFTI/IMF
6833 STOCKTON BLVD STE 485
SACRAMENTO, CA 95823-2372
Phone number: 916-394-0800
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