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Individual

ELIZABETH WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13207 WRIGHT RD, BUDA, TX 78610-5000
(512) 697-8600
Mailing address
13827 SPRING HEATH RD, PFLUGERVILLE, TX 78660-7818

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59320
TX

Other

Enumeration date
10/27/2014
Last updated
10/27/2014
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