Individual
MALLORY CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
100 E MICHIGAN AVE STE 103, JACKSON, MI 49201-1406
(517) 205-7252
Mailing address
11222 BAKER RD, JEROME, MI 49249-9594
(517) 395-9295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008147
MI
Other
Enumeration date
09/07/2021
Last updated
02/27/2023
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