Individual
ADDISON NICOLE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S 40TH ST, SPRINGDALE, AR 72762-5903
(479) 750-8874
Mailing address
1324 N CORSICA DR, FAYETTEVILLE, AR 72704-7156
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
202541
AR
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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