MATTHEW WALLACE

FOLSOM, CA
NPI1639811136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  33214)
Enumeration Date2022-04-13
Last Update Date2022-04-13
Business Address
MATTHEW WALLACE
525 WILLARD DR APT 1634
FOLSOM, CA 95630-4073
Phone number: 818-661-7882
Mailing Address
MATTHEW WALLACE
525 WILLARD DR APT 1634
FOLSOM, CA 95630-4073
Phone number: 818-661-7882
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