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1639251416
THOMAS A WALLACE
FALLS CHURCH, VA
NPI
1639251416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004670)
Enumeration Date
2006-10-20
Last Update Date
2012-08-16
Business Address
Mr. THOMAS A WALLACE LCSW
254 N WASHINGTON ST
FALLS CHURCH, VA 22046-4517
Phone number: 703-309-8514
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Mailing Address
Mr. THOMAS A WALLACE LCSW
909 N GREENBRIER ST
ARLINGTON, VA 22205-1220
Phone number: 703-309-8514
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