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1083001721
ALISSA HEBERT-WALLACE
BRANDON, MS
NPI
1083001721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OH I. 1500168)
Enumeration Date
2015-04-21
Last Update Date
2020-11-09
Business Address
ALISSA HEBERT-WALLACE LCSW
6 LE BOURGEOIS DR
BRANDON, MS 39047-8987
Phone number: 601-317-6210
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Mailing Address
ALISSA HEBERT-WALLACE LCSW
6 LE BOURGEOIS DR
BRANDON, MS 39047-8987
Phone number: 601-317-6210
Copy
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