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1073239240
EILEEN L WALLACE
BOWIE, MD
NPI
1073239240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 02805)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
EILEEN L WALLACE
2701 LYN PL
BOWIE, MD 20715-2362
Phone number: 301-602-9121
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Mailing Address
EILEEN L WALLACE
2701 LYN PL
BOWIE, MD 20715-2362
Phone number: 301-602-9121
Copy
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