KEVIN WALLACE

TEANECK, NJ
NPI1073207049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  095669)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
KEVIN WALLACE LMSW
799 JOHN ST
TEANECK, NJ 07666-5333
Phone number: 917-327-7162
Mailing Address
KEVIN WALLACE LMSW
799 JOHN ST
TEANECK, NJ 07666-5333
Phone number:
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