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1255977138
JOEY LYNN WALLACE
BALTIMORE, MD
NPI
1255977138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 25576)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
JOEY LYNN WALLACE
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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Mailing Address
JOEY LYNN WALLACE
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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