MALLORY MAHALA RECORD

JACKSON, TN
NPI1386161230
Former NameMALLORY MAHALA GRIGGS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  5894)
Enumeration Date2017-08-22
Last Update Date2018-06-05
Business Address
MALLORY MAHALA RECORD MS, CCC-SLP
65 RIDGECREST RD
JACKSON, TN 38305
Phone number: 731-668-6076
Mailing Address
MALLORY MAHALA RECORD MS, CCC-SLP
65 RIDGECREST RD
JACKSON, TN 38305-2359
Phone number: 731-668-6076
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