Individual
MS. COLLEEN I MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
288 N HILL RD, SUTTON, WV 26601-1225
(304) 765-5202
Mailing address
225 WINDY RUN RD, TESLA, WV 26629-9503
(304) 765-5202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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