Individual
MALLORY BROOKE GOODENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED. CCC-SLP
Contact information
Practice address
1530 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9112
(770) 898-3495
Mailing address
101 HAMPTON ST, MCDONOUGH, GA 30253-3111
(352) 497-4760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011447
GA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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