Individual
LAURIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
24 POLE PLAIN RD, SHARON, MA 02067-1741
(781) 255-1817
Mailing address
24 POLE PLAIN RD, SHARON, MA 02067-1741
(781) 255-1817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
844
MA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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