Lionel Wallace JR.

NPI #1053803312 in Ypsilanti, Michigan

Provider Information

NPI Number
1053803312
Entity Type
Individual
Name
Lionel Wallace JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 3, 2018
Last Updated
Jun 3, 2018

Practice Location

Address
5577 WHITTAKER RD
ZIP Code
48197-9752
Phone
(734) 395-9282

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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