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1417265463
WALLACE A BEAUCHAMP
TUCSON, AZ
NPI
1417265463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW 11576)
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
-- WALLACE A BEAUCHAMP LCSW
1475 N ORACLE RD
TUCSON, AZ 85705-7236
Phone number: 520-624-5806
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Mailing Address
-- WALLACE A BEAUCHAMP LCSW
3130 E BROADWAY BLVD STE. 180
TUCSON, AZ 85716-5863
Phone number: 520-624-5806
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