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1760868061
BETTY WALLACE
DAYTON, OH
NPI
1760868061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 923242)
Enumeration Date
2015-08-10
Last Update Date
2019-04-08
Business Address
BETTY WALLACE
3688 WALES DR
DAYTON, OH 45405-1845
Phone number: 502-912-2674
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Mailing Address
BETTY WALLACE
3688 WALES DR
DAYTON, OH 45405-1845
Phone number: 502-912-2674
Copy
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