SETH WALLACE

NEW HAVEN, CT
NPI1487169215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  4020)
Enumeration Date2017-12-01
Last Update Date2017-12-01
Business Address
SETH WALLACE LMSW
5 SCIENCE PARK
NEW HAVEN, CT 06511-1966
Phone number: 203-777-8648
Mailing Address
SETH WALLACE LMSW
25 LYON ST
NEW HAVEN, CT 06511-4925
Phone number: 617-650-4988
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