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1366599334
MAUREEN WALLACE
LAFAYETTE, CA
NPI
1366599334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LC8521)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- MAUREEN WALLACE LCSW
919 VILLAGE CENTER STE 7
LAFAYETTE, CA 94549-3599
Phone number: 925-283-2610
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Mailing Address
-- MAUREEN WALLACE LCSW
5580 DEER RUN DRIVE
RICHMOND, CA 94803-3870
Phone number: 510-367-9818
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