LYLE G WALLACE

WEST ORANGE, NJ
NPI1992444954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NJ  44SL04765500)
Enumeration Date2022-05-29
Last Update Date2022-05-29
Business Address
LYLE G WALLACE
36 WALKER RD
WEST ORANGE, NJ 07052-4403
Phone number: 973-715-5591
Mailing Address
LYLE G WALLACE
36 WALKER RD
WEST ORANGE, NJ 07052-4403
Phone number: 973-715-5591
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