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Mr. Coleman W Wallace
Pastoral Counselor in Willingboro, New Jersey
NPI 1720863913

Coleman W Wallace is a Pastoral Counselor based in Willingboro, NJ and is specialized in Pastoral. Coleman W Wallace practices in Willingboro, NJ. The NPI Number for Coleman W Wallace is 1720863913 and holds a License No. (New Jersey).

The current practice location address for Coleman W Wallace is 15 Edge Ct, Willingboro, NJ and can be reached out via phone at 609-500-7139.

Location: 15 Edge Ct, Willingboro, NJ, 08046-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720863913
Provider Name
Coleman W Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
15 Edge Ct, Willingboro, NJ, 08046-2412
Phone Number
609-500-7139
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Edge Ct
City
Willingboro
State
New Jersey
Zip
08046-2412
Phone Number
609-500-7139
Fax Number
person
Provider Business Mailing Address Details
Address
15 Edge Ct
City
Willingboro
State
New Jersey
Zip
08046-2412
Phone Number
609-500-7139
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
(New Jersey)
Definition
Definition to come...
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