Individual
MOLLIE HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-3962
(715) 582-0803
Mailing address
1713 DUNLAP AVE APT 309, MARINETTE, WI 54143
(715) 571-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3535-154
WI
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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