Individual
MALLORY BROOKE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
13 CLEARBLUE LOOP, SUMMERVILLE, SC 29486-5431
(803) 760-2360
Mailing address
186 SEVEN FARMS DR STE F, DANIEL ISLAND, SC 29492-8522
(803) 814-3812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8557
SC
Other
Enumeration date
02/22/2025
Last updated
08/28/2025
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