Mallory Bragg
NPI #1265224802 in Springfield, Illinois
Provider Information
- NPI Number
- 1265224802
- Entity Type
- Individual
- Name
- Mallory Bragg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 20, 2025
- Last Updated
- May 20, 2025
Practice Location
- Address
- 251 GOLF RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3179
- Phone
- (217) 415-3020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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