WALTER MOORE WALLACE

OXFORD, MS
NPI1124203062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MS  C5978)
Enumeration Date2008-01-09
Last Update Date2008-01-09
Business Address
MR. WALTER MOORE WALLACE L.C.S.W.
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Mailing Address
MR. WALTER MOORE WALLACE L.C.S.W.
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
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