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1639637317
JAMES SCOTT WALLACE
OLYMPIA, WA
NPI
1639637317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
JAMES SCOTT WALLACE CDPT
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 360-704-7170
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Mailing Address
JAMES SCOTT WALLACE CDPT
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 360-704-7170
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