Robin Sue Wallace, SLP

NPI #1720755283 in Licking, Missouri

Provider Information

NPI Number
1720755283
Entity Type
Individual
Name
Robin Sue Wallace, SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Aug 24, 2021
Last Updated
Aug 24, 2021

Practice Location

Address
17674 W HIGHWAY 32
ZIP Code
65542-9018
Phone
(573) 201-8534

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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