MALLORY VAUGHN BUKAS

MOUNT AIRY, NC
NPI1265154611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  30001123)
Enumeration Date2022-09-13
Last Update Date2025-05-19
Business Address
MALLORY VAUGHN BUKAS
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030-3576
Phone number: 855-983-0488
Mailing Address
MALLORY VAUGHN BUKAS
6835 RIDGE RD
TOBACCOVILLE, NC 27050-9731
Phone number: 704-495-5342