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1922796200
LUCY G WALLACE
DANVILLE, VA
NPI
1922796200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202010643)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
LUCY G WALLACE
159 EXECUTIVE DR STE A
DANVILLE, VA 24541-4160
Phone number: 434-799-7732
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Mailing Address
LUCY G WALLACE
1212 FRIENDSHIP CHURCH RD
DRAKES BRANCH, VA 23937-2307
Phone number: 434-414-4612
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