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1710269519
MARIE WALLACE
BERLIN, CT
NPI
1710269519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
MARIE WALLACE
077 WORTHINGTON POINT ROAD
BERLIN, CT 06037
Phone number: 860-726-8929
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Mailing Address
MARIE WALLACE
77 WORTHINGTON POINT ROAD
BERLIN, CT 06037
Phone number:
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