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Laurie Mallie, Ed.S.

Psychologist, School in Coral Springs, FL. Individual provider (NPI-1).

NPI number1689159477
StatusActive
Last updated in NPPESSep 27, 2018

Details

NPI
1689159477
Entity type
Individual (NPI-1)
Name
Mrs. Laurie Mallie
Credential
Ed.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2018
Last updated
Sep 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, SchoolSS1015FLYes

Practice location

5417 Nw 108th Way
Coral Springs, FL 33076-2744

Phone 954-873-7624

Mailing address

5417 Nw 108th Way
Coral Springs, FL 33076-2744

Phone 954-873-7624

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