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1730968363
JULIA LYNETTE WALLACE
COLUMBIA, KY
NPI
1730968363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 258426)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
JULIA LYNETTE WALLACE Temporary CSW
1175 CANE VALLEY RD
COLUMBIA, KY 42728-9540
Phone number: 270-384-6750
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Mailing Address
JULIA LYNETTE WALLACE Temporary CSW
25640 LOUISVILLE RD
PARK CITY, KY 42160-7729
Phone number: 270-250-4733
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