BRENETTA N. WALLACE

FRISCO, TX
NPI1720332646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  65193)
Enumeration Date2012-10-30
Last Update Date2021-01-12
Business Address
BRENETTA N. WALLACE
2770 MAIN ST STE 229
FRISCO, TX 75033-4459
Phone number: 714-797-6015
Mailing Address
BRENETTA N. WALLACE
PO BOX 120692
ARLINGTON, TX 76012-0692
Phone number: 714-797-6015