Individual
MRS. KELLIE A MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 SECRET COVE DR, LEXINGTON, SC 29072-8859
(803) 612-0062
Mailing address
124 SECRET COVE DR, LEXINGTON, SC 29072-8859
(803) 612-0062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8018
SC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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