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1841987005
LAURA WALLACE
KANSAS CITY, MO
NPI
1841987005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: MO 2019044814)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
LAURA WALLACE
2000 NE 46TH ST
KANSAS CITY, MO 64116-2042
Phone number: 816-413-3772
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Mailing Address
LAURA WALLACE
2000 NE 46TH ST
KANSAS CITY, MO 64116-2042
Phone number:
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