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1922461847
STEVEN JAMES WALLACE
WORCESTER, MA
NPI
1922461847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: MA S38883561)
Enumeration Date
2016-03-29
Last Update Date
2016-03-29
Business Address
-- STEVEN JAMES WALLACE
345A GREENWOOD ST STE B
WORCESTER, MA 01607-1753
Phone number: 508-363-0200
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Mailing Address
-- STEVEN JAMES WALLACE
345A GREENWOOD ST STE B
WORCESTER, MA 01607-1753
Phone number: 508-363-0200
Copy
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