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1346778511
BONNIE JEAN WALLACE
GARDNER, MA
NPI
1346778511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-31
Last Update Date
2017-05-31
Business Address
BONNIE JEAN WALLACE MEd
205 SCHOOL ST. # 202
GARDNER, MA 01440
Phone number: 978-632-2321
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Mailing Address
BONNIE JEAN WALLACE MEd
PO BOX 37
FITZWILLIAM, NH 03447-0037
Phone number: 603-585-9010
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