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Individual
MARY KATHERINE MOLLOY
Active
Individual
MARY KATHERINE MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101001214
BOARD OF SPEECH-LANGUAGE PATHOLOGY: SPEECH-LANGUAGE PATHOLOGIST LICENSE
MI
Enumeration date
12/18/2019
Last updated
12/18/2019
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