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1326717208
ANGELLA MESHELLE WALLACE
AUSTIN, TX
NPI
1326717208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108141)
Enumeration Date
2021-09-13
Last Update Date
2022-08-18
Business Address
Mrs. ANGELLA MESHELLE WALLACE MS, CCC/SLP
4000 S IH 35
AUSTIN, TX 78704-7420
Phone number: 512-414-1700
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Mailing Address
Mrs. ANGELLA MESHELLE WALLACE MS, CCC/SLP
1001 SILBURY DR
AUSTIN, TX 78758-3936
Phone number: 818-667-0195
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