Individual
MS. MOLLY JANE HAUSBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
Mailing address
1330 BURKE AVE NE, GRAND RAPIDS, MI 49505-5543
(616) 826-0190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001840
MI
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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