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1265521827
YVONNE SCOTT WALLACE
TUCKER, GA
NPI
1265521827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW001009)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- YVONNE SCOTT WALLACE LCSW
3912 CEDAR CIR
TUCKER, GA 30084-7339
Phone number: 770-414-9742
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Mailing Address
-- YVONNE SCOTT WALLACE LCSW
3912 CEDAR CIR
TUCKER, GA 30084-7339
Phone number: 770-414-9742
Copy
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