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1598900144
CHRISTINA M WALLACE
LUTZ, FL
NPI
1598900144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW8447)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
Miss CHRISTINA M WALLACE LCSW
1515 MICHELIN CT
LUTZ, FL 33549-7533
Phone number: 813-949-8946
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Mailing Address
Miss CHRISTINA M WALLACE LCSW
PO BOX 1907
LUTZ, FL 33548-1907
Phone number: 813-949-8946
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