Individual
MALLORY ALEXIS CRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 935-3300
Mailing address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000995
MI
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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