VICTORIA LYNN WALLACE

PUEBLO, CO
NPI1952820292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-09-19
Last Update Date2017-09-19
Business Address
VICTORIA LYNN WALLACE
79 BONNYMEDE RD APT 104
PUEBLO, CO 81001-8100
Phone number: 720-985-4453
Mailing Address
VICTORIA LYNN WALLACE
79 BONNYMEDE RD APT 104
PUEBLO, CO 81001-1313
Phone number: 720-985-4453
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