MR. Coleman W Wallace
NPI #1720863913 in Willingboro, New Jersey
Provider Information
- NPI Number
- 1720863913
- Entity Type
- Individual
- Name
- MR. Coleman W Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Pastoral
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 15 EDGE CT
- City
- Willingboro
- State
- New Jersey
- ZIP Code
- 08046-2412
- Phone
- (609) 500-7139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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