Individual
MISS SUSANNE TAYLOR MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
469 MAIN ST, SUITE #102, SPRINGVALE, ME 04083-1870
(207) 324-2228
Mailing address
469 MAIN ST, SUITE #102, SPRINGVALE, ME 04083-1870
(207) 324-2228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2099
ME
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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