KIMBERLY D WALLACE

COLLINSVILLE, IL
NPI1225142839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146006036)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- KIMBERLY D WALLACE SLP
1 VALLEY VIEW DR
COLLINSVILLE, IL 62234-6805
Phone number: 618-779-8255
Mailing Address
-- KIMBERLY D WALLACE SLP
1 VALLEY VIEW DR
COLLINSVILLE, IL 62234-6805
Phone number: 618-779-8255
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