SUSAN LEE WALLACE

SANTA CRUZ, CA
NPI1972719938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  15024)
Enumeration Date2007-05-15
Last Update Date2023-08-01
Business Address
SUSAN LEE WALLACE LCSW
1510 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 831-427-3500
Mailing Address
SUSAN LEE WALLACE LCSW
947 EL DORADO AVE
SANTA CRUZ, CA 95062-2863
Phone number: 831-479-7195
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