CAROL L WALLACE

ELK GROVE, CA
NPI1912022492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC48746)
Enumeration Date2007-03-21
Last Update Date2018-06-03
Business Address
Mrs. CAROL L WALLACE MA, LMFT
2376 MARITIME DR SUITE 200
ELK GROVE, CA 95758
Phone number: 916-531-5647
Mailing Address
Mrs. CAROL L WALLACE MA, LMFT
2376 MARITIME DR SUITE 200
ELK GROVE, CA 95758-3640
Phone number: 916-531-5647