Individual
MS. ANN SHIRLEY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 S ASH ST, DENVER, CO 80222-3629
(303) 759-2673
Mailing address
1450 S ASH ST, DENVER, CO 80222-3629
(303) 759-2673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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