Individual
MALLORY NICOLE WAHBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1010 BLYTHWOOD DR, PIEDMONT, SC 29673-6309
(734) 626-2838
Mailing address
1010 BLYTHWOOD DR, PIEDMONT, SC 29673-6309
(734) 626-2838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8112
SC
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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