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1710199328
DONNA WALLACE
DAVIE, FL
NPI
1710199328
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Professional Name
DONNA WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW2636)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- DONNA WALLACE LCSW
2110 SW 97 LANE
DAVIE, FL 33324
Phone number: 954-424-1023
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Mailing Address
-- DONNA WALLACE LCSW
2110 SW 97 LANE
DAVIE, FL 33324
Phone number: 954-424-1023
Copy
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