Individual
MALLORY JOY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 374-8148
Mailing address
1160 E JACKSON ST, MARTINSVILLE, IN 46151-1724
(219) 242-5711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008033A
IN
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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