DONNA WALLACE

FORT PIERCE, FL
NPI1639558471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2015-05-26
Last Update Date2019-03-19
Business Address
DONNA WALLACE
2814 S US HIGHWAY 1 SUITE D-4
FORT PIERCE, FL 34982-8120
Phone number: 772-501-3057
Mailing Address
DONNA WALLACE
567 NW LAKE WHITNEY PL STE 101
PORT ST LUCIE, FL 34986-1629
Phone number:
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