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1700102472
DANNY WALLACE
BARTOW, FL
NPI
1700102472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18848)
Enumeration Date
2010-04-20
Last Update Date
2024-09-23
Business Address
DANNY WALLACE LCSW
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
DANNY WALLACE LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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