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1366646457
SUSAN TAYLOR WALLACE
FAYETTEVILLE, NC
NPI
1366646457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 2112)
Enumeration Date
2007-06-12
Last Update Date
2013-06-03
Business Address
MRS. SUSAN TAYLOR WALLACE
3409 CONNECTION DR
FAYETTEVILLE, NC 28311-0151
Phone number: 910-309-4089
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Mailing Address
MRS. SUSAN TAYLOR WALLACE
3409 CONNECTION RD
FAYETTEVILLE, NC 28311-0151
Phone number: 910-822-1318
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