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Individual
MALLORY TURNBULL
Active
Individual
MALLORY TURNBULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14172226
ASHA CERTIFICATION
—
01
—
26418
CALIFORNIA STATE LICENSE
CA
Enumeration date
12/11/2018
Last updated
12/11/2018
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