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1013796416
CHENELLE WALLACE
ROCKVILLE, MD
NPI
1013796416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
CHENELLE WALLACE
2000 TOWER OAKS BLVD
ROCKVILLE, MD 20852-4282
Phone number: 301-444-5001
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Mailing Address
CHENELLE WALLACE
2000 TOWER OAKS BLVD
ROCKVILLE, MD 20852-4282
Phone number: 301-444-5001
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