BREANNA WALLACE

FOREST HILLS, NY
NPI1538575873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: NY  025278)
Enumeration Date2014-07-08
Last Update Date2016-12-12
Business Address
BREANNA WALLACE
9130 METROPOLITAN AVE
FOREST HILLS, NY 11375-6671
Phone number: 718-286-4700
Mailing Address
BREANNA WALLACE
9130 METROPOLITAN AVE
FOREST HILLS, NY 11375-6671
Phone number: 718-286-4700
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