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1871324855
SARA WALLACE
LINDENHURST, NY
NPI
1871324855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
SARA WALLACE
887 KELLUM ST
LINDENHURST, NY 11757-1508
Phone number: 631-626-4861
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Mailing Address
SARA WALLACE
15 SHAMROCK LN
CENTEREACH, NY 11720-3057
Phone number: 631-626-4861
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