ELLAH WALLACE

GARDENA, CA
NPI1740309194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  IMF 46459)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
Ms. ELLAH WALLACE MFTI
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
Mailing Address
Ms. ELLAH WALLACE MFTI
4785 DON MIGUEL DR APT 3
LOS ANGELES, CA 90008-4151
Phone number: 323-362-7512