Individual
MALLORY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1210 JORDAN ST STE 2A, NORTH LIBERTY, IA 52317-8031
(319) 626-2553
Mailing address
1210 JORDAN ST STE 2A, NORTH LIBERTY, IA 52317-8031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
096605
IA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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