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DIANE WALLACE, LAC

LAC

Mental Health Counselor

NPI: 1912729500Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

37AC00711600(NJ)

Contact & Hours

Address
1830 MANOR DR
UNION, NJ 07083

Quick Facts

NPI
1912729500
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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