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1912022492
CAROL L WALLACE
ELK GROVE, CA
NPI
1912022492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC48746)
Enumeration Date
2007-03-21
Last Update Date
2018-06-03
Business Address
Mrs. CAROL L WALLACE MA, LMFT
2376 MARITIME DR SUITE 200
ELK GROVE, CA 95758
Phone number: 916-531-5647
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Mailing Address
Mrs. CAROL L WALLACE MA, LMFT
2376 MARITIME DR SUITE 200
ELK GROVE, CA 95758-3640
Phone number: 916-531-5647
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