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General NPI Number Information
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NPI Number | 1811127947
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Entity Type | Individual
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Provider Name | MARY VIRGINIA WALLACE LCSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 1401 N CENTRAL EXPY SUITE 375
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City | RICHARDSON
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State | TX
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Zip | 75080-4669
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Country | US
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Telephone | 469-442-6001
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Fax | 972-231-9009
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Provider Business Mailing Address
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Address Line | 9927 BURNHAM DR
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City | DALLAS
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State | TX
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Zip | 75243-2411
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Country | US
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Telephone | 469-442-6001
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Fax | 469-330-6405
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 30861
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License Number State | TX
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