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1205400066
REGINAL ARNETT WALLACE
WINTER HAVEN, FL
NPI
1205400066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18482)
Enumeration Date
2021-05-17
Last Update Date
2021-10-04
Business Address
Mr. REGINAL ARNETT WALLACE LCSW
1201 1ST ST S
WINTER HAVEN, FL 33880-3904
Phone number: 863-293-1121
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Mailing Address
Mr. REGINAL ARNETT WALLACE LCSW
2995 DREW ST FL 3
CLEARWATER, FL 33759-3012
Phone number:
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