Individual
ADRIANNA MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
747 S 8TH ST, GRIFFIN, GA 30224-4884
(678) 613-1605
Mailing address
747 S 8TH ST, GRIFFIN, GA 30224-4884
(678) 613-1605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004168
GA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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