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1528187622
PATRICE WALLACE-MOORE
CARMEL, NY
NPI
1528187622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 042966)
Enumeration Date
2007-03-28
Last Update Date
2023-05-02
Business Address
PATRICE WALLACE-MOORE LCSW
75 SEMINARY HILL RD
CARMEL, NY 10512-1921
Phone number: 800-989-2676
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Mailing Address
PATRICE WALLACE-MOORE LCSW
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number:
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