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1275698540
PETER DAVID WALLENS
CHARLOTTE, NC
NPI
1275698540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C000573)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Mr. PETER DAVID WALLENS M.S.W.
1801 E 5TH ST SUITE 212
CHARLOTTE, NC 28204-2379
Phone number: 704-373-1000
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Mailing Address
Mr. PETER DAVID WALLENS M.S.W.
3304 SELWYN FARMS LN APT 1
CHARLOTTE, NC 28209-5006
Phone number: 704-523-2100
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