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1952015844
MARISA WALLACE
BROOKLYN, NY
NPI
1952015844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032673-01)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
MARISA WALLACE M.S. CCC-SLP
220 IRVING AVE
BROOKLYN, NY 11237-5011
Phone number: 718-574-0252
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Mailing Address
MARISA WALLACE M.S. CCC-SLP
220 IRVING AVE
BROOKLYN, NY 11237-5011
Phone number:
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