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1326143355
REGINALD WALLACE
BROOKLYN, NY
NPI
1326143355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mr. REGINALD WALLACE M.A.
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
Mr. REGINALD WALLACE M.A.
5212 AVENUE I
BROOKLYN, NY 11234-1609
Phone number: 718-836-6600
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