Individual
SALLY MAILLOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MARY HOGAN DR, MARY HOGAN SCHOOL, MIDDLEBURY, VT 05753-1328
(802) 388-4421
Mailing address
225 MOUNTAIN VIEW RDG, NEW HAVEN, VT 05472-3124
(802) 453-7445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0115229
VT
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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