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1417186172
HOLLY WALLACE
VIRGINIA BEACH, VA
NPI
1417186172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202003129)
Enumeration Date
2009-07-02
Last Update Date
2009-07-02
Business Address
Mrs. HOLLY WALLACE M.Ed., CCC-SLP
4560 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23462-7905
Phone number: 757-474-1289
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Mailing Address
Mrs. HOLLY WALLACE M.Ed., CCC-SLP
1213 WORTHINGTON LN
VIRGINIA BEACH, VA 23464-5854
Phone number:
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