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1093075913
CYNTHIA WALLACE
WALLA WALLA, WA
NPI
1093075913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW00009476)
Enumeration Date
2012-05-24
Last Update Date
2012-05-24
Business Address
CYNTHIA WALLACE LICSW
19 E BIRCH ST STE 103
WALLA WALLA, WA 99362-3084
Phone number: 509-200-7290
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Mailing Address
CYNTHIA WALLACE LICSW
553 LOCUST ST
WALLA WALLA, WA 99362-3338
Phone number: 509-200-7290
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