Individual
MALLORY GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 PLUMBERS WAY, LIBERTY, MO 64068-7456
(970) 631-7495
Mailing address
5121 NE SAN RAFAEL DR, KANSAS CITY, MO 64119-4222
(970) 631-7495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016026160
MO
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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