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1912426990
MAYNELL WALLACE
WEST UNION, OH
NPI
1912426990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH 1600067)
Enumeration Date
2017-09-12
Last Update Date
2019-08-26
Business Address
MAYNELL WALLACE LPCC
3964 WHEAT RIDGE RD
WEST UNION, OH 45693
Phone number: 937-544-0100
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Mailing Address
MAYNELL WALLACE LPCC
3964 WHEAT RIDGE RD
WEST UNION, OH 45693
Phone number:
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