Individual
MALLORY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3096 NANTUCKETT AVE, NORTH CHARLESTON, SC 29420-8973
(843) 455-6079
Mailing address
3096 NANTUCKETT AVE, NORTH CHARLESTON, SC 29420-8973
(843) 455-6079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5419
SC
Other
Enumeration date
11/14/2014
Last updated
05/01/2025
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