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1427440387
COLLEEN BRIDGET WALLACE
ANCHORAGE, AK
NPI
1427440387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 489)
Enumeration Date
2015-03-02
Last Update Date
2022-04-06
Business Address
COLLEEN BRIDGET WALLACE M.S, CCC-SLP
4050 LAKE OTIS PKWY SUITE 201
ANCHORAGE, AK 99508-5223
Phone number: 505-489-7764
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Mailing Address
COLLEEN BRIDGET WALLACE M.S, CCC-SLP
2201 ROMIG PL # 406
ANCHORAGE, AK 99503-1680
Phone number: 505-489-7764
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