Individual
TERESE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3200 LOOP RD APT 65, ORANGE BEACH, AL 36561-3043
(318) 308-9535
Mailing address
3200 LOOP RD APT 65, ORANGE BEACH, AL 36561-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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