Individual
MOLLY ANNA MITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2 CARLISLE ST APT 2, WORCESTER, MA 01602-3487
(978) 870-5574
Mailing address
2 CARLISLE ST APT 2, WORCESTER, MA 01602-3487
(978) 870-5574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77264
MA
Other
Enumeration date
02/05/2022
Last updated
04/28/2026
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