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MIATA WALLACE, MS
MS
Counselor
NPI: 1710855838Individual
Specialties, Licenses & Credentials
CounselorPrimary
Counselor
Code: 101Y00000X
Contact & Hours
- Address
- 1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320 - Phone
- (757) 404-5355
Quick Facts
- NPI
- 1710855838
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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