ADAM LEO WALLACE

LAS CRUCES, NM
NPI1790477479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-05-22
Last Update Date2024-05-08
Business Address
ADAM LEO WALLACE
1250 HILLRISE CIR
LAS CRUCES, NM 88011-4741
Phone number: 575-288-1881
Mailing Address
ADAM LEO WALLACE
1250 HILLRISE CIR
LAS CRUCES, NM 88011-4741
Phone number: 575-288-1881
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