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Individual

MS. KELSEY MARIE WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMHC

Contact information

Practice address
3115 DOUGLAS AVE, DES MOINES, IA 50310-5307
(515) 235-4720
Mailing address
100 E EUCLID AVE, SUITE 143, DES MOINES, IA 50313-4511
(515) 256-8001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001328
IA

Other

Enumeration date
10/08/2010
Last updated
10/08/2010
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