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1881630093
TRACI L. WALLACE
CULVER CITY, CA
NPI
1881630093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA psy14644)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
Dr. TRACI L. WALLACE Ph.D.
10811 WASHINGTON BLVD. SUITE 280
CULVER CITY, CA 90066
Phone number: 310-939-4297
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Mailing Address
Dr. TRACI L. WALLACE Ph.D.
10811 WASHINGTON BLVD. SUITE 280
CULVER CITY, CA 90066
Phone number: 310-939-4297
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