JACOB WALLACE

PALMETTO BAY, FL
NPI1639031503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-12-01
Last Update Date2025-12-01
Business Address
JACOB WALLACE
15924 SW 92ND AVE
PALMETTO BAY, FL 33157-1842
Phone number: 305-964-5824
Mailing Address
JACOB WALLACE
15175 SW 111TH ST
MIAMI, FL 33196-2503
Phone number: 786-209-4513
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