TINA LOUISE WALLACE

JASPER, AL
NPI1750044327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AL  3541)
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
Mrs. TINA LOUISE WALLACE ALC
1000 HIGHWAY 78 W
JASPER, AL 35501-3655
Phone number: 205-512-1260
Mailing Address
Mrs. TINA LOUISE WALLACE ALC
1000 HIGHWAY 78 W
JASPER, AL 35501-3655
Phone number: 205-512-1260
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