GWENDOLYN DEANE WALLACE

HATTIESBURG, MS
NPI1730770207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S-4735)
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
Ms. GWENDOLYN DEANE WALLACE MS-CF,SLP
4805 W 4TH ST
HATTIESBURG, MS 39402-1019
Phone number: 601-270-6968
Mailing Address
Ms. GWENDOLYN DEANE WALLACE MS-CF,SLP
4805 W 4TH ST
HATTIESBURG, MS 39402-1019
Phone number: 607-270-6968
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