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1922722065
YASMINE WALLACE
DECATUR, GA
NPI
1922722065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-10-03
Last Update Date
2022-10-04
Business Address
YASMINE WALLACE
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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Mailing Address
YASMINE WALLACE
PO BOX 3127
TUCKER, GA 30085-3127
Phone number: 404-906-7268
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