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1649286949
LEE TRAVIS WALLACE
AUSTIN, TX
NPI
1649286949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 22772)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. LEE TRAVIS WALLACE PhD
13740 HWY 183 #R-3
AUSTIN, TX 78750
Phone number: 512-331-1415
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Mailing Address
Dr. LEE TRAVIS WALLACE PhD
13740 HWY 183 #R-3
AUSTIN, TX 78750
Phone number: 512-331-1415
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