Jennifer Renea Wallace, B.A
NPI #1669799086 in Durant, Oklahoma
Provider Information
- NPI Number
- 1669799086
- Entity Type
- Individual
- Name
- Jennifer Renea Wallace, B.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- B.A
- Enumeration Date
- Apr 24, 2010
- Last Updated
- Apr 24, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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