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1134419591
BRYNN WALLACE
NEW YORK, NY
NPI
1134419591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083759)
Enumeration Date
2011-04-19
Last Update Date
2016-04-28
Business Address
-- BRYNN WALLACE LCSW
308 E 38TH ST
NEW YORK, NY 10016-9819
Phone number: 917-773-7694
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Mailing Address
-- BRYNN WALLACE LCSW
49 W 24TH ST SUITE 608
NEW YORK, NY 10010-3206
Phone number: 917-773-7694
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