Most Relevant Information
Provider Data
| NPI Number: | 1003317827 |
| Provider Name: | MALLORY DUEY |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7101000302 |
Most Important Dates
| Enumeration Date: | 02/27/2018 |
| Last Updated: | 02/27/2018 |
Provider Practice Location
5402 GATEWAY CTR STE B
FLINT
MI
485073918
Practice Location Phone/Fax
| Phone: | 8106030040 |
| Fax: |
Provider Mailing Location
5402 GATEWAY CTR STE B
FLINT
MI
485073918
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |