Individual
MOLLY ANN ITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
25252 ROSELAWN RD, BLANCHARD, OK 73010-3701
(405) 485-3347
Mailing address
25252 ROSELAWN RD, BLANCHARD, OK 73010-3701
(405) 485-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100173
TX
235Z00000X
Speech-Language Pathologist
Primary
15530
CA
Other
Enumeration date
04/14/2007
Last updated
09/11/2025
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