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1912342759
RACHAEL WALLACE
FORT WALTON BEACH, FL
NPI
1912342759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH60634249)
Enumeration Date
2013-05-07
Last Update Date
2023-03-13
Business Address
RACHAEL WALLACE LMHC
913 BEAL PKWY NW STE A-1098
FORT WALTON BEACH, FL 32547-1402
Phone number: 360-200-8830
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Mailing Address
RACHAEL WALLACE LMHC
913 BEAL PKWY NW STE A-1098
FORT WALTON BEACH, FL 32547-1402
Phone number: 360-200-8830
Copy
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