Individual
MRS. ELISABETH ANNE MOSIER-MALMBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3135 S 600 E, SALT LAKE CITY, UT 84106-1215
(801) 810-9145
Mailing address
PO BOX 522236, SALT LAKE CITY, UT 84152-2236
(801) 810-9145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
47678904102
UT
Other
Enumeration date
06/05/2008
Last updated
11/15/2011
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