Individual
MISS MALLORY SANAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 372-9732
Mailing address
220 STAN WALL RD, WEST MONROE, LA 71291-9827
(318) 267-2597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7372
LA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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