LISA WALLACE

JACKSONVILLE, FL
NPI1992125892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-04-18
Last Update Date2015-03-26
Business Address
-- LISA WALLACE
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-0600
Mailing Address
-- LISA WALLACE
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number:
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