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Marie Wallace
NPI 1710269519 · on the registry since 2011 · sole proprietor
Practice
- Address
- 077 Worthington Point Road
Berlin, CT 06037 - Phone
- (860) 726-8929
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Sex
- Female
- Record last updated
- 2011-09-16
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 Connecticut