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1497096333
THERESA WALLACE
WHITESTONE, NY
NPI
1497096333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2013-03-01
Last Update Date
2022-07-21
Business Address
-- THERESA WALLACE MSED
147-26 18TH AVE
WHITESTONE, NY 11357-3108
Phone number: 917-613-3900
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Mailing Address
-- THERESA WALLACE MSED
147-26 18TH AVE
WHITESTONE, NY 11357-3108
Phone number: 917-613-3900
Copy
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