Marie Wallace
NPI #1710269519 in Berlin, Connecticut
Provider Information
- NPI Number
- 1710269519
- Entity Type
- Individual
- Name
- Marie Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 16, 2011
- Last Updated
- Sep 16, 2011
Practice Location
- Address
- 077 WORTHINGTON POINT ROAD
- City
- Berlin
- State
- Connecticut
- ZIP Code
- 06037
- Phone
- (860) 726-8929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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