SCOTT D WALLACE

LOWELL, MA
NPI1184996399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  116999)
Enumeration Date2012-02-02
Last Update Date2012-06-18
Business Address
-- SCOTT D WALLACE
63 GLENWOOD ST
LOWELL, MA 01852-3007
Phone number: 978-804-4068
Mailing Address
-- SCOTT D WALLACE
63 GLENWOOD ST
LOWELL, MA 01852-3007
Phone number: 978-804-4068
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