EMILY MARISSA WALLACE

TULSA, OK
NPI1003700444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  CF791)
Enumeration Date2025-06-09
Last Update Date2025-06-09
Business Address
EMILY MARISSA WALLACE
6846 S CANTON AVE
TULSA, OK 74136-3412
Phone number: 918-806-0106
Mailing Address
EMILY MARISSA WALLACE
6846 S CANTON AVE
TULSA, OK 74136-3412
Phone number: