DONNA WALLACE

DAVIE, FL
NPI1710199328
Professional NameDONNA WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW2636)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- DONNA WALLACE LCSW
2110 SW 97 LANE
DAVIE, FL 33324
Phone number: 954-424-1023
Mailing Address
-- DONNA WALLACE LCSW
2110 SW 97 LANE
DAVIE, FL 33324
Phone number: 954-424-1023
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