HAROLD WAYNE WALLACE

ODESSA, TX
NPI1699045302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  10091)
Enumeration Date2012-01-11
Last Update Date2012-01-11
Business Address
-- HAROLD WAYNE WALLACE LPC
21 WALLBROOK TRL
ODESSA, TX 79762-5213
Phone number: 432-550-4563
Mailing Address
-- HAROLD WAYNE WALLACE LPC
21 WALLBROOK TRL
ODESSA, TX 79762-5213
Phone number: 432-550-4563
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