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1013693019
KATHRYN PAIGE WALLACE
RALEIGH, NC
NPI
1013693019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 30002017)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
KATHRYN PAIGE WALLACE CCC-SLP
8390 SIX FORKS RD STE 104
RALEIGH, NC 27615-3060
Phone number: 919-247-4551
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Mailing Address
KATHRYN PAIGE WALLACE CCC-SLP
610 GRAND CENTRAL STA
APEX, NC 27502-2472
Phone number: 980-328-2400
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