Individual
MALLORY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S BLAIR ST, SPRINGDALE, AR 72764-4410
(479) 259-2339
Mailing address
1522 CANAL ST, LOWELL, AR 72745-6025
(405) 612-8730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201904
AR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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