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1619686391
MALLORY BREANNE LIBBERT
JASPER, IN
NPI
1619686391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22006418A)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
Mrs. MALLORY BREANNE LIBBERT M.S., CCC-SLP
3150 SAINT CHARLES ST
JASPER, IN 47546-1858
Phone number: 812-634-6570
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Mailing Address
Mrs. MALLORY BREANNE LIBBERT M.S., CCC-SLP
2131 W 5TH AVE
JASPER, IN 47546-9720
Phone number: 812-827-1062
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