DUSTIN P WALLACE

KANSAS CITY, MO
NPI1710143250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MO  2010009609)
Enumeration Date2008-08-04
Last Update Date2015-02-03
Business Address
Dr. DUSTIN P WALLACE PhD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
Mailing Address
Dr. DUSTIN P WALLACE PhD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
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