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1841313590
JODY LYNN WALLACE
AMHERST, MA
NPI
1841313590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113344)
Enumeration Date
2007-04-09
Last Update Date
2019-10-14
Business Address
JODY LYNN WALLACE LICSW
48 N PLEASANT ST STE 207
AMHERST, MA 01002-1741
Phone number: 413-461-4042
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Mailing Address
JODY LYNN WALLACE LICSW
48 N PLEASANT ST STE 206
AMHERST, MA 01002-1741
Phone number: 413-540-1100
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