Individual
MARY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 900-2305
Mailing address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 900-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8625
LA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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