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1316462930
JENNIFER WALLACH
NEW YORK, NY
NPI
1316462930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 022264)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
Dr. JENNIFER WALLACH PHD
594 BROADWAY RM 907
NEW YORK, NY 10012-3289
Phone number: 617-571-6811
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Mailing Address
Dr. JENNIFER WALLACH PHD
594 BROADWAY
NEW YORK, NY 10012-3233
Phone number: 617-571-6811
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