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1306178173
ELIZABETH KELLER WALLACE
LOUISVILLE, KY
NPI
1306178173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 09-053)
Enumeration Date
2010-02-04
Last Update Date
2010-02-04
Business Address
-- ELIZABETH KELLER WALLACE MA, CFY-SLP
6000 HUNTING RD
LOUISVILLE, KY 40222-6308
Phone number: 502-426-1425
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Mailing Address
-- ELIZABETH KELLER WALLACE MA, CFY-SLP
4200 MARY KNOLL LN
LOUISVILLE, KY 40207-2118
Phone number:
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