SUSAN K WALLACE

BEND, OR
NPI1679778914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-06-18
Last Update Date2007-07-20
Business Address
-- SUSAN K WALLACE
63360 NW BRITTA ST STE 1
BEND, OR 97701-9475
Phone number: 541-318-4845
Mailing Address
-- SUSAN K WALLACE
21865 BEAR CREEK RD
BEND, OR 97701-9660
Phone number: 541-318-8082
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