Individual
MALLORY LYNN DEWIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
301 N 9TH ST, RICHMOND, VA 23219-1933
(804) 780-8193
Mailing address
2730 W GRACE ST APT 8, RICHMOND, VA 23220-1976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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