Individual
MRS. ADALYNN DANETTE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
530 TANGLEWOOD LN, MISHAWAKA, IN 46545-2627
(574) 285-0120
Mailing address
517 VICTORIA CT, MISHAWAKA, IN 46544-2676
(405) 668-0069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006758A
IN
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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