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1700662210
CAROLINE SHERIDAN WALLACE
LOS ANGELES, CA
NPI
1700662210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT133068)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
CAROLINE SHERIDAN WALLACE AMFT
2820 GLENDALE BLVD STE 6
LOS ANGELES, CA 90039-2723
Phone number: 503-851-0413
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Mailing Address
CAROLINE SHERIDAN WALLACE AMFT
4211 CROMWELL AVE
LOS ANGELES, CA 90027
Phone number: 503-851-0413
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