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Individual
DR. NORAH SUZANNE WALLACE
Active
Individual
DR. NORAH SUZANNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025328
NY
103TC0700X
Clinical Psychologist
35SI00732000
NJ
103TC0700X
Clinical Psychologist
P113414
NY
Other
Enumeration date
06/09/2022
Last updated
02/15/2024
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