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1821605429
CHRISTOPHER PETER WALLACK
QUINCY, MA
NPI
1821605429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
Mr. CHRISTOPHER PETER WALLACK
460 QUINCY AVE
QUINCY, MA 02169-8130
Phone number: 239-269-8276
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Mailing Address
Mr. CHRISTOPHER PETER WALLACK
85 AUSTIN ST
HYDE PARK, MA 02136-1532
Phone number: 239-269-8276
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