MALLORY BREANNE LIBBERT

JASPER, IN
NPI1619686391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22006418A)
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
Mrs. MALLORY BREANNE LIBBERT M.S., CCC-SLP
3150 SAINT CHARLES ST
JASPER, IN 47546-1858
Phone number: 812-634-6570
Mailing Address
Mrs. MALLORY BREANNE LIBBERT M.S., CCC-SLP
2131 W 5TH AVE
JASPER, IN 47546-9720
Phone number: 812-827-1062