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1700069424
MELISSA A WALLACE
DORCHESTER, MA
NPI
1700069424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
-- MELISSA A WALLACE EdM
105 VICTORY RD
DORCHESTER, MA 02122-3518
Phone number: 617-619-6921
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Mailing Address
-- MELISSA A WALLACE EdM
105 VICTORY RD
DORCHESTER, MA 02122-3518
Phone number: 617-619-6921
Copy
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