MELISSA EMILY WALLACE

LAKELAND, FL
NPI1841656311
Former NameMELISSA EMILY MARTINEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW17470)
Enumeration Date2016-01-13
Last Update Date2023-02-15
Business Address
MELISSA EMILY WALLACE LCSW
1473 CYPRESS VIEW LN
LAKELAND, FL 33811-2689
Phone number: 863-899-7613
Mailing Address
MELISSA EMILY WALLACE LCSW
6700 S FLORIDA AVE STE 33
LAKELAND, FL 33813-3312
Phone number: 863-450-3067
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