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Individual
MS. SARAH E WALLENS
Active
Individual
MS. SARAH E WALLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001667
IL
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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