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1134575475
LISA WALLACE
MILTON, MA
NPI
1134575475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
-- LISA WALLACE
14 FARMER RD
MILTON, MA 02186-3743
Phone number: 617-615-5727
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Mailing Address
-- LISA WALLACE
14 FARMER RD
MILTON, MA 02186-3743
Phone number: 617-615-5727
Copy
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