Individual
DANIELLE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W HIGH ST, DOWAGIAC, MI 49047-1943
(269) 783-3041
Mailing address
420 W HIGH ST, DOWAGIAC, MI 49047-1943
(269) 783-3041
(269) 783-3019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7151013493
MI
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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