CONNIE J WALLACE

BAKERSFIELD, CA
NPI1861588071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CA  mfc40616)
Enumeration Date2006-10-05
Last Update Date2010-08-12
Business Address
Mrs. CONNIE J WALLACE MFT
1412 17TH ST # 352
BAKERSFIELD, CA 93301-5211
Phone number: 661-205-1522
Mailing Address
Mrs. CONNIE J WALLACE MFT
1412 17TH ST # 352
BAKERSFIELD, CA 93301-5211
Phone number: 661-205-1522
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