LILA ANANDA WALLACE

FAIRFIELD, IA
NPI1679863674
Former NameLILA ANANDA BRAIDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  94538)
Enumeration Date2011-04-11
Last Update Date2025-03-12
Business Address
LILA ANANDA WALLACE LMFT
306 W ADAMS AVE
FAIRFIELD, IA 52556-3314
Phone number: 641-455-9630
Mailing Address
LILA ANANDA WALLACE LMFT
306 W ADAMS AVE
FAIRFIELD, IA 52556-3314
Phone number: 641-455-9630
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