Individual
MS. MARLA KAYE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PLPC
Contact information
Practice address
967 GARDENVIEW OFFICE PKWY, CREVE COEUR, MO 63141-5917
(314) 561-9757
Mailing address
967 GARDENVIEW OFFICE PKWY, CREVE COEUR, MO 63141-5917
(314) 561-9757
(314) 561-9050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2023046935
MO
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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