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Individual

KIONA MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 S OAK ST, WINCHESTER, IN 47394-2229
(309) 453-6690
Mailing address
2520 CHATEAU DR, MUNCIE, IN 47303-1998

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003829A
IN

Other

Enumeration date
08/24/2020
Last updated
08/24/2020
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