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1144060807
DELANIA MICHELLE WALLACE
BATON ROUGE, LA
NPI
1144060807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
DELANIA MICHELLE WALLACE
14635 S HARRELLS FERRY RD
BATON ROUGE, LA 70816-2959
Phone number: 225-349-8984
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Mailing Address
DELANIA MICHELLE WALLACE
14180 HIGHWAY 44 LOT 1
GONZALES, LA 70737-6962
Phone number: 337-422-8983
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