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1851543979
WARREN S WALLACE
SEWELL, NJ
NPI
1851543979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00165300)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
Dr. WARREN S WALLACE Ed.D, LPC
33 BERKSHIRE DR
SEWELL, NJ 08080-3104
Phone number: 856-302-5371
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Mailing Address
Dr. WARREN S WALLACE Ed.D, LPC
33 BERKSHIRE DR
SEWELL, NJ 08080-3104
Phone number: 856-302-5371
Copy
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