Individual
PRESTYNE S. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 N 52ND ST, MILWAUKEE, WI 53210-1608
(414) 732-9938
Mailing address
2809 N 52ND ST, MILWAUKEE, WI 53210-1608
(414) 732-9938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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