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1588049506
ALYSSA WALLACE
WAYLAND, NY
NPI
1588049506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 024855)
Enumeration Date
2015-07-21
Last Update Date
2020-04-18
Business Address
ALYSSA WALLACE M.S. SLP
2350 ROUTE 63
WAYLAND, NY 14572-9509
Phone number: 607-765-1700
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Mailing Address
ALYSSA WALLACE M.S. SLP
8864 WARNER RD
WAYLAND, NY 14572-9387
Phone number: 607-765-1700
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