Willie Wallace
Willie Wallace is a Counselor in Minneapolis, Minnesota. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
227 Colfax Ave N Ste 130Minneapolis, MN 55405-1408
Phone: (612) 259-7384
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1750773982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 25, 2015 |
| Last updated in NPPES | February 25, 2015 |
| Mailing address | 227 Colfax Ave N Ste 130, Minneapolis, MN 55405-1408 |
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