Individual
MALLORIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008867
MI
Other
Enumeration date
06/19/2023
Last updated
04/24/2024
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