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1306948757
WARREN M WALLIS
ALBANY, NY
NPI
1306948757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 010104)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
Dr. WARREN M WALLIS Psy.D.
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 518-626-5323
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Mailing Address
Dr. WARREN M WALLIS Psy.D.
1176 LAURAL LN
BALLSTON SPA, NY 12020-3826
Phone number: 518-885-5558
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