Amanda Wallace
NPI #1053725952 in St Charles, Illinois
Provider Information
- NPI Number
- 1053725952
- Entity Type
- Individual
- Name
- Amanda Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 40W310 LAFOX RD
- Address 2
- SUITE A1/B1
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60175-6588
- Phone
- (630) 444-0077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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