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1174631121
DEBRA J WALLACE
CHARLESTON, SC
NPI
1174631121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 6433)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
DEBRA J WALLACE LISW
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
DEBRA J WALLACE LISW
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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