Angela D Wallace
Angela D Wallace is a Mental Health Counselor in Shawnee, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
101 N Union AveShawnee, OK 74801-7067
Phone: (405) 878-1135
Fax: (405) 878-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1114204450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 15, 2011 |
| Last updated in NPPES | November 15, 2011 |
| Mailing address | 101 N Union Ave, Shawnee, OK 74801-7067 |
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