MYISHA L WALLACE

RIVERVIEW, FL
NPI1659062891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: FL  IMT3816)
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
MYISHA L WALLACE
13190 ROYAL PINES AVE
RIVERVIEW, FL 33579-9321
Phone number: 813-520-0156
Mailing Address
MYISHA L WALLACE
13190 ROYAL PINES AVE
RIVERVIEW, FL 33579-9321
Phone number: 813-520-0156
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