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1518797794
DORIAN JAMES WALLACE
BROOKLYN, NY
NPI
1518797794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: NY 16406)
Enumeration Date
2024-08-03
Last Update Date
2024-08-03
Business Address
DORIAN JAMES WALLACE MT-BC
1510 CARROLL ST APT 2A
BROOKLYN, NY 11213-4527
Phone number: 330-592-5264
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Mailing Address
DORIAN JAMES WALLACE MT-BC
1510 CARROLL ST APT 2A
BROOKLYN, NY 11213-4527
Phone number: 330-592-5264
Copy
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