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1639558471
DONNA WALLACE
FORT PIERCE, FL
NPI
1639558471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-05-26
Last Update Date
2019-03-19
Business Address
DONNA WALLACE
2814 S US HIGHWAY 1 SUITE D-4
FORT PIERCE, FL 34982-8120
Phone number: 772-501-3057
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Mailing Address
DONNA WALLACE
567 NW LAKE WHITNEY PL STE 101
PORT ST LUCIE, FL 34986-1629
Phone number:
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