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1922665173
SHANA WALLACE
SPRINGFIELD, MA
NPI
1922665173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-05-23
Last Update Date
2021-09-03
Business Address
SHANA WALLACE
417 LIBERTY ST
SPRINGFIELD, MA 01104-3736
Phone number: 413-246-9675
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Mailing Address
SHANA WALLACE
417 LIBERTY ST
SPRINGFIELD, MA 01104-3736
Phone number:
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