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Search › Ohio › 390200000X

Mallory Bouque

NPI 1023861341 · on the registry since 2024 · sole proprietor

Practice

Address
13201 Granger Rd
Garfield Heights, OH 44125
Phone
(248) 464-3927
Organisation at this address
Beech Brook
South Suburban Women'S Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Additional practice sites

  • 11235 Bellflower Rd, Cleveland, OH

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2024-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio