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1538455217
DAN L WALLACE
FAYETTEVILLE, AR
NPI
1538455217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P0504028)
Enumeration Date
2011-06-21
Last Update Date
2019-01-11
Business Address
DAN L WALLACE LPC
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
DAN L WALLACE LPC
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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