Individual
MRS. MARY KAYE MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 SCHOOL STREET, DORA CONSOLIDATED SCHOOLS, DORA, NM 88115-0327
(505) 477-2211
Mailing address
511 INDIAN HILLS APACHE TRAIL, PORTALES, NM 88130-9106
(505) 478-2424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1826
NM
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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