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1437590973
JOHN BURTON WALLACE
DECATUR, GA
NPI
1437590973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-07-12
Last Update Date
2024-03-18
Business Address
JOHN BURTON WALLACE LCSW
1123 CLAIRMONT RD
DECATUR, GA 30030-1207
Phone number: 917-392-6700
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Mailing Address
JOHN BURTON WALLACE LCSW
1736 OAKVIEW RD
DECATUR, GA 30030-4235
Phone number: 917-392-6700
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