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Organization
MALLORY PETERSONS SPEECH PARADISE LLC
Active
Organization
MALLORY PETERSONS SPEECH PARADISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY PETERSON (SPEECH LANGUAGE PATHOLOGIST)
(321) 615-4624
Entity
Organization
Contact information
Practice address
130 MCLEOD ST, MERRITT ISLAND, FL 32953-3466
(321) 615-4624
Mailing address
1680 ROCHELLE PKWY, MERRITT ISLAND, FL 32952-5650
(321) 615-4624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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