MALLORY SHUPE

FORT WAYNE, IN
NPI1205391117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
MALLORY SHUPE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
Mailing Address
MALLORY SHUPE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241