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Individual

MALLORY O'GRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3340 CENTRAL PLAINS RD, PALMYRA, VA 22963-4362
(434) 589-8318
Mailing address
3340 CENTRAL PLAINS RD, PALMYRA, VA 22963-4362
(434) 589-8318

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006495
VA

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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