SUSAN VICTORIA WALLACE

RIVERSIDE, CA
NPI1710247812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC45089)
Enumeration Date2012-05-22
Last Update Date2022-03-01
Business Address
MRS. SUSAN VICTORIA WALLACE CLINICIAN
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506-3907
Phone number: 951-788-5905
Mailing Address
MRS. SUSAN VICTORIA WALLACE CLINICIAN
9685 HAYES ST
RIVERSIDE, CA 92503-3660
Phone number: 951-351-4418
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