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1902844244
DONALD M WALLACH
PETALUMA, CA
NPI
1902844244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 34379)
Enumeration Date
2006-06-02
Last Update Date
2012-03-11
Business Address
-- DONALD M WALLACH MFT
222 WELLER ST STE 205
PETALUMA, CA 94952-7107
Phone number: 707-583-2305
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Mailing Address
-- DONALD M WALLACH MFT
222 WELLER ST STE 205
PETALUMA, CA 94952-7107
Phone number: 707-583-2305
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