MRS. Cynthia Lyn Mallard, D.T.

NPI #1174733471 in Chebanse, Illinois

Provider Information

NPI Number
1174733471
Entity Type
Individual
Name
MRS. Cynthia Lyn Mallard, D.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
D.T.
Enumeration Date
May 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
279 N LOCUST ST
ZIP Code
60922-9778
Phone
(815) 697-2114

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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