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1629498175
KRISTINA MARIE WALLACE
SAN FRANCISCO, CA
NPI
1629498175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
-- KRISTINA MARIE WALLACE
1380 HOWARD ST
SAN FRANCISCO, CA 94103-2638
Phone number: 415-255-3607
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Mailing Address
-- KRISTINA MARIE WALLACE
1380 HOWARD ST
SAN FRANCISCO, CA 94103-2638
Phone number: 415-255-3607
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