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1164201711
LILLY JOY WALLACE
VISALIA, CA
NPI
1164201711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 114055)
Enumeration Date
2023-09-25
Last Update Date
2024-09-10
Business Address
LILLY JOY WALLACE ACSW
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-786-3611
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Mailing Address
LILLY JOY WALLACE ACSW
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-786-3611
Copy
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