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1346430386
DAVID A. WALLACE
ALBANY, NY
NPI
1346430386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0703041)
Enumeration Date
2007-07-26
Last Update Date
2008-05-08
Business Address
Mr. DAVID A. WALLACE LCSW-R
251 NEW KARNER RD BOX 604
ALBANY, NY 12205-4617
Phone number: 518-248-4351
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Mailing Address
Mr. DAVID A. WALLACE LCSW-R
251 NEW KARNER RD BOX 604
ALBANY, NY 12205-4617
Phone number: 518-248-4351
Copy
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