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1891190831
KATHERINE LUCAS WALLACE
OAKLAND, CA
NPI
1891190831
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Other Name
KASEY WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF82518)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- KATHERINE LUCAS WALLACE
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
-- KATHERINE LUCAS WALLACE
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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