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1013486539
WALLACE ROSS
WESTAMPTON, NJ
NPI
1013486539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
WALLACE ROSS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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Mailing Address
WALLACE ROSS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
Copy
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