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Individual
MARY KAY MALENIC
Active
Individual
MARY KAY MALENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3937
LICENSE NUMBER
OH
Enumeration date
02/22/2008
Last updated
03/10/2009
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