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1851987523
MACIE WALLACE
MISHAWAKA, IN
NPI
1851987523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
MACIE WALLACE BCBA
525 PARK PLACE CIR
MISHAWAKA, IN 46545-3511
Phone number: 574-387-4313
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Mailing Address
MACIE WALLACE BCBA
1824 TOUBY PIKE STE B
KOKOMO, IN 46901-2573
Phone number:
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