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1700110764
MARGARET ANN WALLACE
SOUTHAVEN, MS
NPI
1700110764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7663)
Enumeration Date
2009-09-23
Last Update Date
2021-10-11
Business Address
Ms. MARGARET ANN WALLACE LCSW
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671-2603
Phone number: 662-772-5937
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Mailing Address
Ms. MARGARET ANN WALLACE LCSW
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671-2603
Phone number: 662-772-5937
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