ANTOINE WALLACE

COLUMBIA, MD
NPI1407367162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-10-20
Last Update Date2017-10-20
Business Address
ANTOINE WALLACE
6355 WOODSIDE CT
COLUMBIA, MD 21046-1071
Phone number: 410-381-7171
Mailing Address
ANTOINE WALLACE
6355 WOODSIDE CT
COLUMBIA, MD 21046-1071
Phone number:
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