Individual
KERRY MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 N 18TH ST, APT 201, RICHMOND, VA 23223-6365
(804) 982-6191
Mailing address
402 N 18TH ST, APT 201, RICHMOND, VA 23223-6365
(804) 982-6191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006569
VA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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