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1689768590
LAURA WALLIS
SPRINGFIELD, MA
NPI
1689768590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111512)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- LAURA WALLIS LICSW
110 MAPLE ST
SPRINGFIELD, MA 01105-1864
Phone number: 413-734-3151
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Mailing Address
-- LAURA WALLIS LICSW
110 MAPLE ST
SPRINGFIELD, MA 01105-1864
Phone number: 413-734-3151
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