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1164940474
LISA WALLACE
CORDOVA, TN
NPI
1164940474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
LISA WALLACE BCBA
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number: 901-624-2454
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Mailing Address
LISA WALLACE BCBA
1155 CULLY RD
CORDOVA, TN 38018-8502
Phone number:
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