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1952604183
DAVID C. WALLACE
COLUMBUS, GA
NPI
1952604183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004754)
Enumeration Date
2010-12-09
Last Update Date
2023-10-10
Business Address
DAVID C. WALLACE
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-323-0174
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Mailing Address
DAVID C. WALLACE
5700 VETERANS PKWY
COLUMBUS, GA 31904-9093
Phone number: 706-221-3222
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