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1992311047
ALYSSA MARIE WALLACE
SYRACUSE, NY
NPI
1992311047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 01699)
Enumeration Date
2020-09-23
Last Update Date
2023-05-01
Business Address
ALYSSA MARIE WALLACE LMHC
1045 JAMES ST STE 100
SYRACUSE, NY 13203-2758
Phone number: 315-425-1004
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Mailing Address
ALYSSA MARIE WALLACE LMHC
1045 JAMES ST STE 100
SYRACUSE, NY 13203-2758
Phone number: 315-425-1004
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