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1841704467
KELLY M WALLACE
MIDDLETOWN, NY
NPI
1841704467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 085448)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
KELLY M WALLACE LCSW
11 MILLS RD
MIDDLETOWN, NY 10941-1018
Phone number: 845-494-2571
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Mailing Address
KELLY M WALLACE LCSW
11 MILLS RD
MIDDLETOWN, NY 10941-1018
Phone number: 845-494-2571
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