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1841209392
MONTE N WALLACE
GREENVILLE, SC
NPI
1841209392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: SC 5525)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Mrs. MONTE N WALLACE LMSW
124 MALLARD ST GMHC
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
Mrs. MONTE N WALLACE LMSW
124 MALLARD ST GMHC
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
Copy
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