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1073135521
DONIELLE R WALLACE
MARIETTA, OH
NPI
1073135521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.1904386)
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
DONIELLE R WALLACE
207D COLEGATE DR
MARIETTA, OH 45750-2363
Phone number: 740-376-0930
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Mailing Address
DONIELLE R WALLACE
207D COLEGATE DR
MARIETTA, OH 45750-2363
Phone number: 740-376-0930
Copy
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