Individual
MISS MALLORY JANE SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.E.
Contact information
Practice address
746 HOWSE AVE, MADISON, TN 37115-4956
(615) 993-7233
Mailing address
116 AGNES RD, KNOXVILLE, TN 37919-6306
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
208
TN
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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