AZAIA WALLACE

WESLEY CHAPEL, FL
NPI1982287876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NV  10883-C)
Additional Taxonomies104100000X Social Worker
1041C0700X Social Worker, Clinical
Enumeration Date2021-04-29
Last Update Date2024-09-04
Business Address
AZAIA WALLACE
8039 LENNOX LOOP
WESLEY CHAPEL, FL 33544-3503
Phone number: 918-859-5775
Mailing Address
AZAIA WALLACE
8039 LENNOX LOOP
WESLEY CHAPEL, FL 33544-3503
Phone number: 918-859-5775