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1912031311
REBECCA B WALLACE
FULLERTON, CA
NPI
1912031311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC8969)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mrs. REBECCA B WALLACE MFT
801 E CHAPMAN AVE
FULLERTON, CA 92831-3839
Phone number: 714-680-9082
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Mailing Address
Mrs. REBECCA B WALLACE MFT
2422 FAIRMONT AVE
SANTA ANA, CA 92706-2010
Phone number: 714-680-9082
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