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1982393633
TARA WALLACE
SAN ANTONIO, TX
NPI
1982393633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
TARA WALLACE
3922 WISEMAN ROAD #4
SAN ANTONIO, TX 78251
Phone number: 210-816-7495
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Mailing Address
TARA WALLACE
9314 RYDER RD
SAN ANTONIO, TX 78254
Phone number: 210-447-0039
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