JACQUELINE WALLACE

DORCHESTER, MA
NPI1033634977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  2029129)
Enumeration Date2017-08-12
Last Update Date2022-07-21
Business Address
JACQUELINE WALLACE
321 BLUE HILL AVE
DORCHESTER, MA 02121-4302
Phone number: 617-541-6859
Mailing Address
JACQUELINE WALLACE
321 BLUE HILL AVE
DORCHESTER, MA 02121-4302
Phone number: 617-541-6859