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Individual

DENISE EILEEN WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
600 1ST AVE, SUITE 531, SEATTLE, WA 98104-2216
(720) 987-9087
Mailing address
600 1ST AVE, SUITE 531, SEATTLE, WA 98104-2216
(720) 987-9087

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
601942238
WA

Other

Enumeration date
04/26/2009
Last updated
04/26/2009
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