AYESHA WALLACE

LOS ANGELES, CA
NPI1649522400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  79411)
Enumeration Date2012-10-03
Last Update Date2017-09-27
Business Address
-- AYESHA WALLACE
710 E 111TH PL
LOS ANGELES, CA 90059-1518
Phone number: 323-233-0425
Mailing Address
-- AYESHA WALLACE
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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