LOWELL WALLACE

PHILADELPHIA, MS
NPI1932610623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2017-10-20
Last Update Date2018-03-17
Business Address
LOWELL WALLACE
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350-2300
Phone number: 601-781-8677
Mailing Address
LOWELL WALLACE
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350-2300
Phone number: 601-781-8677
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