Individual
MALLERY FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
7 E CHEROKEE AVE, CARTERSVILLE, GA 30120-3302
(470) 423-9477
Mailing address
530 ROSEDALE DR, HIRAM, GA 30141-2710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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