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Lyle G Wallace
School Social Worker in West Orange, New Jersey
NPI 1992444954

Lyle G Wallace is a School Social Worker based in West Orange, NJ and is specialized in School. Lyle G Wallace practices in West Orange, NJ. The NPI Number for Lyle G Wallace is 1992444954 and holds a License No. 44SL04765500 (New Jersey).

The current practice location address for Lyle G Wallace is 36 Walker Rd, West Orange, NJ and can be reached out via phone at 973-715-5591.

Location: 36 Walker Rd, West Orange, NJ, 07052-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992444954
Provider Name
Lyle G Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
36 Walker Rd, West Orange, NJ, 07052-4403
Phone Number
973-715-5591
Fax Number
Provider Enumeration Date
05/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36 Walker Rd
City
West Orange
State
New Jersey
Zip
07052-4403
Phone Number
973-715-5591
Fax Number
person
Provider Business Mailing Address Details
Address
36 Walker Rd
City
West Orange
State
New Jersey
Zip
07052-4403
Phone Number
973-715-5591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
44SL04765500 (New Jersey)
Definition
Definition to come...
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