JOHN JASON WALLACE

WILKES BARRE, PA
NPI1063652097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW015384)
Enumeration Date2009-03-04
Last Update Date2009-03-04
Business Address
Mr. JOHN JASON WALLACE LCSW
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
Mailing Address
Mr. JOHN JASON WALLACE LCSW
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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