Mckenzie Mallard

NPI #1174065080 in Bourbonnais, Illinois

Provider Information

NPI Number: 1174065080
Entity Type: Individual
Name: Mckenzie Mallard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 9, 2016
Last Updated: Aug 12, 2019

Practice Location

Address: 598 SPRING PARK LOOP
City: Bourbonnais
State: Illinois
ZIP Code: 60914-4968
Phone: (815) 671-7092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

Additional Practice Locations

500 Fairway Dr

Suite 102

Deerfield Beach, FL, 33441-1814

(888) 880-9270

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