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1649925728
CAITLIN ELIZABETH WALLACE
OAKLAND, CA
NPI
1649925728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
CAITLIN ELIZABETH WALLACE
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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Mailing Address
CAITLIN ELIZABETH WALLACE
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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