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1740981828
TABITHA LACIE WALLACE
SEBRING, FL
NPI
1740981828
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Former Name
TABITHA COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
MRS. TABITHA LACIE WALLACE M.S., CCC-SLP
5300 LAFAYETTE AVE
SEBRING, FL 33875-5686
Phone number: 863-414-5207
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Mailing Address
MRS. TABITHA LACIE WALLACE M.S., CCC-SLP
5300 LAFAYETTE AVE
SEBRING, FL 33875-5686
Phone number: 863-414-5207
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