MEGAN A WALLACE

MILWAUKEE, WI
NPI1962697185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15367-131)
Enumeration Date2007-09-11
Last Update Date2019-12-16
Business Address
MEGAN A WALLACE BA
7330 W LAYTON AVE
MILWAUKEE, WI 53220-3849
Phone number: 414-877-1071
Mailing Address
MEGAN A WALLACE BA
7330 W LAYTON AVE
MILWAUKEE, WI 53220-3849
Phone number: 414-877-1071
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