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1972732204
ANITA WALLACE
PASADENA, CA
NPI
1972732204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 44773)
Enumeration Date
2009-07-08
Last Update Date
2009-07-08
Business Address
-- ANITA WALLACE
2500 E FOOTHILL BLVD
PASADENA, CA 91107-3464
Phone number: 626-564-1613
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Mailing Address
-- ANITA WALLACE
2500 E FOOTHILL BLVD
PASADENA, CA 91107-3464
Phone number: 626-564-1613
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