CHARLES WILLIAM WALLACE

ARVADA, CO
NPI1851506463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CO  749)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
Mr. CHARLES WILLIAM WALLACE LMFT
5738 OLDE WADSWORTH BLVD
ARVADA, CO 80002-2535
Phone number: 720-203-2903
Mailing Address
Mr. CHARLES WILLIAM WALLACE LMFT
1370 ESTES ST APT 201
LAKEWOOD, CO 80215-4866
Phone number: 303-295-3326
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