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1326199043
RICHARD J. WALLACE
BERKELEY, CA
NPI
1326199043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. RICHARD J. WALLACE Master
1930 STUART ST
BERKELEY, CA 94703-2215
Phone number: 650-558-5304
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Mailing Address
Mr. RICHARD J. WALLACE Master
1930 STUART ST
BERKELEY, CA 94703-2215
Phone number: 650-558-5304
Copy
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