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1326401969
DENISE WALLACK
KEARNY, NJ
NPI
1326401969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: NJ 35SI00558100)
Enumeration Date
2016-03-31
Last Update Date
2016-03-31
Business Address
-- DENISE WALLACK Psy.D.
470 FOREST ST UNIT 2
KEARNY, NJ 07032-3582
Phone number: 973-715-7593
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Mailing Address
-- DENISE WALLACK Psy.D.
470 FOREST ST UNIT 2
KEARNY, NJ 07032-3582
Phone number: 973-715-7593
Copy
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