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1427884154
JACQUELINE ELIZABETH MALLON
ELLICOTT CITY, MD
NPI
1427884154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 02957L)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
JACQUELINE ELIZABETH MALLON
10910 ROUTE 108
ELLICOTT CITY, MD 21042-0000
Phone number: 410-313-5014
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Mailing Address
JACQUELINE ELIZABETH MALLON
5940 WATERLOO RD
COLUMBIA, MD 21045-2630
Phone number: 410-313-5014
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