Individual
MRS. MOLLIE R LEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 KIME ST, WILLARD, MO 65781-7233
(417) 742-2584
(417) 742-2586
Mailing address
460 KIME ST, WILLARD, MO 65781-7233
(417) 742-2584
(417) 742-2586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009019311
MO
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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