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1639676299
MAXWELL WALLACE
ROCHESTER, NY
NPI
1639676299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 022525)
Enumeration Date
2018-04-10
Last Update Date
2018-07-19
Business Address
Dr. MAXWELL WALLACE PsyD
600 PARK AVENUE CARRIAGE HOUSE
ROCHESTER, NY 14607
Phone number: 585-449-0125
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Mailing Address
Dr. MAXWELL WALLACE PsyD
600 PARK AVENUE CARRIAGE HOUSE
ROCHESTER, NY 14607
Phone number: 585-449-0125
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