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1487948568
DIONNE WALLACE
LAFAYETTE, LA
NPI
1487948568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV IC-1329)
Enumeration Date
2011-06-06
Last Update Date
2024-05-30
Business Address
DIONNE WALLACE
1010 AUBURN AVE
LAFAYETTE, LA 70503-2308
Phone number: 337-261-2300
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Mailing Address
DIONNE WALLACE
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-459-6795
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