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1447689971
MARY WALLIS
ELMIRA, NY
NPI
1447689971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 086618)
Enumeration Date
2013-11-05
Last Update Date
2018-03-07
Business Address
Ms. MARY WALLIS LCSW
100 WASHINGTON ST
ELMIRA, NY 14901-2849
Phone number: 607-737-4745
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Mailing Address
Ms. MARY WALLIS LCSW
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-664-2255
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