ANDREW WALLACE

COLUMBUS, OH
NPI1134762842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies251B00000X Case Management
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
ANDREW WALLACE QMHS CMS
195 N GRANT AVE STE 250
COLUMBUS, OH 43215-2855
Phone number: 440-260-8300
Mailing Address
ANDREW WALLACE QMHS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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