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1881140275
JULIANA WALLACE
LOS ANGELES, CA
NPI
1881140275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 125125)
Enumeration Date
2016-08-26
Last Update Date
2024-08-22
Business Address
JULIANA WALLACE
8220 S SAN PEDRO ST
LOS ANGELES, CA 90003-3030
Phone number: 323-570-0445
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Mailing Address
JULIANA WALLACE
5168 CLINTON ST # 2
LOS ANGELES, CA 90004-1667
Phone number: 408-607-6684
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