AMY WALLIS

MOORE, OK
NPI1780930370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  6156)
Enumeration Date2012-08-01
Last Update Date2023-02-22
Business Address
AMY WALLIS LPC
620 NW 5TH ST STE D
MOORE, OK 73160-3947
Phone number: 405-208-4469
Mailing Address
AMY WALLIS LPC
620 NW 5TH ST STE D
MOORE, OK 73160-3947
Phone number: 405-208-4469
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