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1700113594
MONIQUE WALLIS
PHOENIX, AZ
NPI
1700113594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 12156329)
Enumeration Date
2009-11-16
Last Update Date
2009-11-16
Business Address
Mrs. MONIQUE WALLIS M.S., CCC-SLP
2527 W LUCIA DR
PHOENIX, AZ 85085-3715
Phone number: 480-703-9877
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Mailing Address
Mrs. MONIQUE WALLIS M.S., CCC-SLP
2527 W LUCIA DR
PHOENIX, AZ 85085-3715
Phone number: 480-703-9877
Copy
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