Individual
DEBORA HAMILTON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CORNING RD, CARY, NC 27518-9229
(919) 431-7400
Mailing address
400 CROSS LAKE DR, FUQUAY VARINA, NC 27526-9444
(919) 524-2568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1741
NC
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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