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1073191557
DASHIYA WALLACE
PHILADELPHIA, PA
NPI
1073191557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA SW136536)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
DASHIYA WALLACE
4812 BALTIMORE AVE
PHILADELPHIA, PA 19143-3419
Phone number: 215-563-7863
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Mailing Address
DASHIYA WALLACE
4812 BALTIMORE AVE
PHILADELPHIA, PA 19143-3419
Phone number: 215-563-7863
Copy
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