KRISTIN KIRBY WALLACE

MELBOURNE, FL
NPI1922303007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH7107)
Enumeration Date2011-01-20
Last Update Date2011-01-20
Business Address
-- KRISTIN KIRBY WALLACE M.A.
4256 FOUR LAKES DR
MELBOURNE, FL 32940-1222
Phone number: 321-795-7701
Mailing Address
-- KRISTIN KIRBY WALLACE M.A.
4256 FOUR LAKES DR
MELBOURNE, FL 32940-1222
Phone number: 321-795-7701
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