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1851954572
WILLIAM WALLACE
KING OF PRUSSIA, PA
NPI
1851954572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: PA RBT-19-82180)
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
WILLIAM WALLACE
583 SHOEMAKER RD STE 230
KING OF PRUSSIA, PA 19406-4201
Phone number: 484-681-2170
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Mailing Address
WILLIAM WALLACE
583 SHOEMAKER RD STE 230
KING OF PRUSSIA, PA 19406-4201
Phone number: 484-681-2170
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