MALLORY MARIE BONIFAS

LAKELAND, FL
NPI1477888303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ4193)
Enumeration Date2009-10-09
Last Update Date2009-10-09
Business Address
-- MALLORY MARIE BONIFAS MA, CF SLP
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
Mailing Address
-- MALLORY MARIE BONIFAS MA, CF SLP
2130 MORGAN WIELAND LANE APT 304
LAKELAND, FL 33813
Phone number: 419-302-2878