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1104043223
ROBERTA WALLACE
DURHAM, NC
NPI
1104043223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C002343)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- ROBERTA WALLACE
3333 DUMC
DURHAM, NC 27710-0001
Phone number: 919-668-2836
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Mailing Address
-- ROBERTA WALLACE
3333 DUMC
DURHAM, NC 27710-0001
Phone number: 919-668-2836
Copy
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