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1407483878
STEPHANIE L WALLACE
QUINCY, MA
NPI
1407483878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MA 1699)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
STEPHANIE L WALLACE LMFT
1212 HANCOCK ST STE 205
QUINCY, MA 02169-4371
Phone number: 617-750-0183
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Mailing Address
STEPHANIE L WALLACE LMFT
1212 HANCOCK ST STE 205
QUINCY, MA 02169-4371
Phone number: 617-750-0183
Copy
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