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1750448833
KELLEY WALLACE
WALPOLE, MA
NPI
1750448833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113056)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- KELLEY WALLACE LICSW
399 LINCOLN RD
WALPOLE, MA 02081-1218
Phone number: 508-668-7703
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Mailing Address
-- KELLEY WALLACE LICSW
73 KNIGHT AVE
ATTLEBORO, MA 02703-7219
Phone number: 508-455-1953
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