Stefanie Wallace

NPI #1972983682 in Fridley, Minnesota

Provider Information

NPI Number
1972983682
Entity Type
Individual
Name
Stefanie Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Jun 8, 2015
Last Updated
Feb 22, 2017

Practice Location

Address
7954 UNIVERSITY AVE NE
ZIP Code
55432-1860
Phone
(763) 780-3036

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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