RANDALL KENT WALLACE

HARTFORD, CT
NPI1891049003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  2544)
Enumeration Date2012-11-09
Last Update Date2016-11-09
Business Address
Dr. RANDALL KENT WALLACE Psy.D.
36 RUSS ST
HARTFORD, CT 06106-1520
Phone number: 860-466-9411
Mailing Address
Dr. RANDALL KENT WALLACE Psy.D.
36 RUSS ST
HARTFORD, CT 06106-1520
Phone number: 860-466-9411
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