Individual
MS. MARY K MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
9375 WOODBINE ST, BATON ROUGE, LA 70815-4263
(225) 636-2848
(225) 615-7499
Mailing address
9375 WOODBINE ST, BATON ROUGE, LA 70815-4263
(225) 636-2848
(225) 615-7499
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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