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1770954448
JILLIAN WALLACE
NAPA, CA
NPI
1770954448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- JILLIAN WALLACE MH
2261 ELM ST
NAPA, CA 94559-3721
Phone number: 707-253-4700
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Mailing Address
-- JILLIAN WALLACE MH
2261 ELM ST
NAPA, CA 94559-3721
Phone number:
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