MARK THOMAS WALLACE

HARRISBURG, PA
NPI1538533005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2015-11-21
Last Update Date2015-11-23
Business Address
-- MARK THOMAS WALLACE
2337 N 2ND ST
HARRISBURG, PA 17110-1009
Phone number: 570-617-6890
Mailing Address
-- MARK THOMAS WALLACE
2337 N 2ND ST
HARRISBURG, PA 17110-1009
Phone number:
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