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1619370798
THERESA ANNE WALLACE
SANTA ANA, CA
NPI
1619370798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 94659)
Enumeration Date
2014-10-02
Last Update Date
2022-01-13
Business Address
THERESA ANNE WALLACE
1231 E DYER RD STE 135
SANTA ANA, CA 92705-5643
Phone number: 949-250-0488
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Mailing Address
THERESA ANNE WALLACE
PO BOX 12
PLACENTIA, CA 92871-0012
Phone number:
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