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1881189181
MELISSA SUE WALLACE
FRESNO, CA
NPI
1881189181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9478)
Enumeration Date
2018-06-28
Last Update Date
2022-09-16
Business Address
MELISSA SUE WALLACE SUDCC
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-492-1373
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Mailing Address
MELISSA SUE WALLACE SUDCC
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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