Individual
MALLORY PROFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 TURTLE CREEK DR, O FALLON, MO 63366-5948
(636) 379-0300
Mailing address
275 CHERRY HILLS MEADOWS DR, WILDWOOD, MO 63040-1648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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