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Deborah Wallace

NPI 1548665037 · on the registry since 2014 · sole proprietor

Practice

Address
2460 25th St Ne
Canton, OH 44705
Phone
(330) 809-7073
Clinicians at this address
2

Registry record

Primary taxonomy
171W00000X
171W00000X
Also registered as
385H00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio