MRS. Tabitha Lacie Wallace, M.S., CCC-SLP

NPI #1740981828 in Sebring, Florida

Provider Information

NPI Number
1740981828
Entity Type
Individual
Name
MRS. Tabitha Lacie Wallace, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Mar 15, 2023
Last Updated
Mar 15, 2023

Practice Location

Address
5300 LAFAYETTE AVE
State
Florida
ZIP Code
33875-5686
Phone
(863) 414-5207

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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