Individual
ADRIENNE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BIRCHVIEW DR, PISCATAWAY, NJ 08854
(732) 844-3525
Mailing address
PO BOX 1152, PISCATAWAY, NJ 08855-1152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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