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1871155242
HENRY HUGH WALLACE
TYLER, TX
NPI
1871155242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 201549)
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
HENRY HUGH WALLACE
6236 RHONES QUARTER RD LOT 13
TYLER, TX 75707-6479
Phone number: 903-952-9869
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Mailing Address
HENRY HUGH WALLACE
6236 RHONES QUARTER RD LOT 13
TYLER, TX 75707-6479
Phone number: 903-952-9869
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