Individual
MRS. DAWN M. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
181 SAND CREEK RD STE A, BRENTWOOD, CA 94513-2209
(925) 626-7152
Mailing address
181 SAND CREEK RD STE A, BRENTWOOD, CA 94513-2209
(925) 626-7152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
12/11/2018
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