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1750013330
KATHERINE RENEE WALLACE
STOCKTON, CA
NPI
1750013330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
KATHERINE RENEE WALLACE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
KATHERINE RENEE WALLACE
135 W WYANDOTTE ST
STOCKTON, CA 95204-5324
Phone number: 209-808-9503
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