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Individual

DAWN A. MALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
880 A1A N, STE 18A, PONTE VEDRA BEACH, FL 32082-3220
(904) 778-7501
(904) 778-7504
Mailing address
PO BOX 48116, JACKSONVILLE, FL 32247-8116
(904) 725-1657
(904) 725-7247

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5628
FL

Other

Enumeration date
08/05/2006
Last updated
07/08/2007
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