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1477162840
ELLEN ANNE WALLACE
LAS VEGAS, NV
NPI
1477162840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2020-07-30
Last Update Date
2023-12-18
Business Address
ELLEN ANNE WALLACE CCC-SLP
3101 W CHARLESTON BLVD
LAS VEGAS, NV 89102-1931
Phone number: 702-831-6670
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Mailing Address
ELLEN ANNE WALLACE CCC-SLP
2200 LINDELL RD
LAS VEGAS, NV 89146-3304
Phone number: 281-995-4631
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