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1679958409
CHRISTOPHER WALLACE
SLIDELL, LA
NPI
1679958409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-07-22
Last Update Date
2024-06-10
Business Address
CHRISTOPHER WALLACE
118 VILLAGE ST STE A
SLIDELL, LA 70458-5302
Phone number: 504-782-5849
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Mailing Address
CHRISTOPHER WALLACE
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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