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1639480627
SHAYLA WALLACE
PINEHURST, NC
NPI
1639480627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 9030)
Enumeration Date
2010-06-24
Last Update Date
2010-06-24
Business Address
-- SHAYLA WALLACE MSP, CCC-SLP
5 DOWD CIR SUITE A
PINEHURST, NC 28374-7901
Phone number: 910-295-2609
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Mailing Address
-- SHAYLA WALLACE MSP, CCC-SLP
300 PROSPECT ST
SOUTHERN PINES, NC 28387-6471
Phone number: 803-840-3411
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