Individual
AMBER MOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
143 W GREEN BAY ST, PULASKI, WI 54162-9350
(920) 822-6000
Mailing address
255 WINCHESTER DR, SEYMOUR, WI 54165-1355
(920) 228-0703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1590007461
WI
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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