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1578029963
ASHARI WALLACE
LONG BEACH, CA
NPI
1578029963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 86390)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
ASHARI WALLACE MSW
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-595-1159
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Mailing Address
ASHARI WALLACE MSW
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-595-1159
Copy
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