ELLERY CAROLINE WALLACE

BOWLING GREEN, KY
NPI1699330597
Other NameELLERY CAROLINE BURKHEAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  286690)
Enumeration Date2019-05-06
Last Update Date2024-01-26
Business Address
ELLERY CAROLINE WALLACE MS, CCC-SLP
2427 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3980
Phone number: 270-936-7472
Mailing Address
ELLERY CAROLINE WALLACE MS, CCC-SLP
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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