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1912409160
ERIC WALLACE
SHAKER HEIGHTS, OH
NPI
1912409160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: OH P.07864)
Enumeration Date
2018-03-05
Last Update Date
2019-03-20
Business Address
ERIC WALLACE PhD
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone number: 216-320-8456
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Mailing Address
ERIC WALLACE PhD
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone number: 216-320-8456
Copy
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