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1154788842
KINCY WALLACE
WESTAMPTON, NJ
NPI
1154788842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-26
Last Update Date
2019-04-16
Business Address
KINCY WALLACE
770 WOODLANE RD
WESTAMPTON, NJ 08060
Phone number: 609-267-5928
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Mailing Address
KINCY WALLACE
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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