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1811127947
MARY VIRGINIA WALLACE
RICHARDSON, TX
NPI
1811127947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 30861)
Enumeration Date
2009-07-23
Last Update Date
2009-07-23
Business Address
-- MARY VIRGINIA WALLACE LCSW, ACSW
1401 N CENTRAL EXPY SUITE 375
RICHARDSON, TX 75080-4669
Phone number: 469-442-6001
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Mailing Address
-- MARY VIRGINIA WALLACE LCSW, ACSW
9927 BURNHAM DR
DALLAS, TX 75243-2411
Phone number: 469-442-6001
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