CASSANDRA WALLACE

LITTLE ROCK, AR
NPI1770750002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: AR  1658)
Enumeration Date2008-05-15
Last Update Date2008-05-15
Business Address
-- CASSANDRA WALLACE LPTN
4601 W 7TH ST
LITTLE ROCK, AR 72205-5441
Phone number: 501-686-9393
Mailing Address
-- CASSANDRA WALLACE LPTN
4601 W 7TH ST
LITTLE ROCK, AR 72205-5441
Phone number: 501-686-9393
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