Individual
DR. MALLORY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3535 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5535
Mailing address
3535 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012014543
MO
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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