Individual
MARCIA DAWSON MALLAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
4553 HINCKLEY INDUSTRIAL PKWY, CLEVELAND, OH 44109-6009
(216) 635-3504
(216) 635-3530
Mailing address
2963 CORYDON RD, CLEVELAND HEIGHTS, OH 44118-3530
(216) 321-7884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SP-6223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340753561028
CARESOURCE ID
OH
Enumeration date
01/24/2007
Last updated
01/04/2010
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