KERRY L WALLACE

CASSELBERRY, FL
NPI1841234101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 5283)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Prof. KERRY L WALLACE LMHC, NCC
661 SEMINOLA BLVD
CASSELBERRY, FL 32707-3057
Phone number: 407-333-0254
Mailing Address
Prof. KERRY L WALLACE LMHC, NCC
1841 CROWLEY CIR E
LONGWOOD, FL 32779-7016
Phone number: 407-333-0254
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