MRS. Connie S. Wallace, M.A., CCC

NPI #1851592711 in Union, Kentucky

Provider Information

NPI Number
1851592711
Entity Type
Individual
Name
MRS. Connie S. Wallace, M.A., CCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.A., CCC
Enumeration Date
May 29, 2007
Last Updated
Jun 24, 2008

Practice Location

Address
10063 IRISH WAY
City
Union
ZIP Code
41091-7103
Phone
(859) 384-9339

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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