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1942707500
JASON R WALLIS
WASHINGTON, DC
NPI
1942707500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC50081298)
Enumeration Date
2018-04-10
Last Update Date
2019-09-30
Business Address
JASON R WALLIS MSW, LICSW
4414 BENNING RD NE
WASHINGTON, DC 20019-4555
Phone number: 202-388-7759
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Mailing Address
JASON R WALLIS MSW, LICSW
4414 BENNING RD NE
WASHINGTON, DC 20019-4555
Phone number: 202-388-7759
Copy
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