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Susanne R Wallace
Specialist in Great Barrington, Massachusetts
NPI 1881992063

Susanne R Wallace is a Specialist based in Great Barrington, MA. Susanne R Wallace practices in Great Barrington, MA. The NPI Number for Susanne R Wallace is 1881992063 and holds a License No. 2083442 (Massachusetts).

The current practice location address for Susanne R Wallace is 442 Stockbridge Road, Great Barrington, MA and can be reached out via phone at 413-644-0104.

Location: 442 Stockbridge Road, Great Barrington, MA, 01230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881992063
Provider Name
Susanne R Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
442 Stockbridge Road, Great Barrington, MA, 01230
Phone Number
413-644-0104
Fax Number
Provider Enumeration Date
03/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
442 Stockbridge Road
City
Great Barrington
State
Massachusetts
Zip
01230
Phone Number
413-644-0104
Fax Number
person
Provider Business Mailing Address Details
Address
442 Stockbridge Road
City
Great Barrington
State
Massachusetts
Zip
01230
Phone Number
413-644-0104
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2083442 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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