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1912516964
SAMANTHA ANNE WALLACE
FAYETTEVILLE, NC
NPI
1912516964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 14234)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
SAMANTHA ANNE WALLACE MA, CCC-SLP
1289 OLIVER ST
FAYETTEVILLE, NC 28304-4450
Phone number: 910-483-8331
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Mailing Address
SAMANTHA ANNE WALLACE MA, CCC-SLP
PO BOX 87294
FAYETTEVILLE, NC 28304-7294
Phone number: 910-483-8331
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