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1952782443
CHANA WAX
MISHAWAKA, IN
NPI
1952782443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22006120A)
Enumeration Date
2015-06-10
Last Update Date
2015-06-10
Business Address
Mrs. CHANA WAX CCC-SLP
113 LINCOLNWAY E
MISHAWAKA, IN 46544-2016
Phone number: 443-608-0169
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Mailing Address
Mrs. CHANA WAX CCC-SLP
3327 S TWYCKENHAM DR
SOUTH BEND, IN 46614-2153
Phone number: 443-608-0169
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