Individual
MRS. DEBRA S MALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7390
Mailing address
W142N9974 COTTONWOOD CT, GERMANTOWN, WI 53022-5369
(262) 255-9908
(262) 255-9908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1977-154
WI
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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