MARGARET SUSAN WALLACE

FORT WAYNE, IN
NPI1639428931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002298A)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- MARGARET SUSAN WALLACE
6315 MUTUAL DR SUITE B
FORT WAYNE, IN 46825-4238
Phone number: 260-409-8188
Mailing Address
-- MARGARET SUSAN WALLACE
10214 CHESTNUT PLAZA DR #130
FORT WAYNE, IN 46814-8970
Phone number: 260-409-8188
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