TYLER WALLACE

PORTLAND, ME
NPI1043036874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC24119)
Enumeration Date2024-11-26
Last Update Date2024-11-26
Business Address
TYLER WALLACE LMSW-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Mailing Address
TYLER WALLACE LMSW-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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