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1477276350
HALEY WALLACE
MT JULIET, TN
NPI
1477276350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
HALEY WALLACE
401 S MOUNT JULIET RD STE 235-118
MT JULIET, TN 37122-6359
Phone number: 703-506-0123
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Mailing Address
HALEY WALLACE
1751 ASHLAND CITY RD APT K81
CLARKSVILLE, TN 37043-4861
Phone number: 931-494-7870
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