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1457754699
DENISE WALLACE
ABINGDON, VA
NPI
1457754699
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Former Name
DENISE DEW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: VA 0904007863)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
MS. DENISE WALLACE
661 E MAIN ST
ABINGDON, VA 24210-2339
Phone number: 276-623-9245
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Mailing Address
MS. DENISE WALLACE
661 E MAIN ST
ABINGDON, VA 24210-2339
Phone number: 276-623-9245
Copy
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