Individual
MALLORY RANEE MCCOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1101 TOM SAWYER TRL, HARRISBURG, SD 57032-2105
(605) 743-2567
Mailing address
1205 W WHISPERING ST, SIOUX FALLS, SD 57108-4875
(605) 359-9450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
09/19/2016
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