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Individual

SARA WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
6506 STATE ROUTE 229, MARENGO, OH 43334-9738
(419) 768-3040
Mailing address
225 SWITCHBACK CT, DELAWARE, OH 43015-4315
(330) 509-1617

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3151539
OH

Other

Enumeration date
06/02/2014
Last updated
06/02/2014
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