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1205596863
KATHERINE LEE WALLACE
RICHMOND, VA
NPI
1205596863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012660)
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
Ms. KATHERINE LEE WALLACE LCSW
1200 E MARSHALL ST
RICHMOND, VA 23298-5023
Phone number: 804-297-5797
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Mailing Address
Ms. KATHERINE LEE WALLACE LCSW
2218 PARKWOOD AVE FL 2
RICHMOND, VA 23220-5207
Phone number: 703-785-5744
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