KATHERINE RENEE WALLACE

STOCKTON, CA
NPI1750013330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
KATHERINE RENEE WALLACE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
Mailing Address
KATHERINE RENEE WALLACE
135 W WYANDOTTE ST
STOCKTON, CA 95204-5324
Phone number: 209-808-9503
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