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1699961854
QIANA NICHOLE WALLACE
POMONA, CA
NPI
1699961854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-21
Last Update Date
2007-09-24
Business Address
Mrs. QIANA NICHOLE WALLACE MSW
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-398-4383
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Mailing Address
Mrs. QIANA NICHOLE WALLACE MSW
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-398-4383
Copy
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