VIVIAN DYANNE WALLACE

LAWRENCEVILLE, GA
NPI1821163023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP000631)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Ms. VIVIAN DYANNE WALLACE M.Ed.
735 LONGLEAF BLVD SUITE A
LAWRENCEVILLE, GA 30045-8460
Phone number: 770-995-2378
Mailing Address
Ms. VIVIAN DYANNE WALLACE M.Ed.
735 LONGLEAF BLVD SUITE A
LAWRENCEVILLE, GA 30045-8460
Phone number: 770-995-2378
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