EDNA WALLACE

LOS ALTOS, CA
NPI1922419241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  46206)
Enumeration Date2014-05-09
Last Update Date2014-05-09
Business Address
-- EDNA WALLACE LMFT
851 FREMONT AVE STE 214
LOS ALTOS, CA 94024-5602
Phone number: 408-296-0966
Mailing Address
-- EDNA WALLACE LMFT
PO BOX 4465
MOUNTAIN VIEW, CA 94040-0465
Phone number: 408-296-0966
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