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1457493900
PAMELA WALLACE
BROOKLYN, NY
NPI
1457493900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0755201)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Ms. PAMELA WALLACE LCSW
971 JEROME ST
BROOKLYN, NY 11207-9252
Phone number: 718-272-3300
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Mailing Address
Ms. PAMELA WALLACE LCSW
14722 VILLAGE ROAD 82B
JAMAICA, NY 11435-6349
Phone number: 718-380-6730
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