Prestyne S. Wallace

NPI #1003619586 in Milwaukee, Wisconsin

Provider Information

NPI Number
1003619586
Entity Type
Individual
Name
Prestyne S. Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Mar 31, 2025
Last Updated
Mar 31, 2025

Practice Location

Address
2809 N 52ND ST
ZIP Code
53210-1608
Phone
(414) 732-9938

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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