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1295899698
DREW D WALLACE
BOCA RATON, FL
NPI
1295899698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY6717)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Dr. DREW D WALLACE Ph.D.
6893 SW 18TH ST SUITE F-101
BOCA RATON, FL 33433-7044
Phone number: 954-303-6693
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Mailing Address
Dr. DREW D WALLACE Ph.D.
6893 SW 18TH ST SUITE F-101
BOCA RATON, FL 33433-7044
Phone number: 954-303-6693
Copy
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