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1720332646
BRENETTA N. WALLACE
FRISCO, TX
NPI
1720332646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 65193)
Enumeration Date
2012-10-30
Last Update Date
2021-01-12
Business Address
BRENETTA N. WALLACE
2770 MAIN ST STE 229
FRISCO, TX 75033-4459
Phone number: 714-797-6015
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Mailing Address
BRENETTA N. WALLACE
PO BOX 120692
ARLINGTON, TX 76012-0692
Phone number: 714-797-6015
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