Individual
KAREN KELLY MOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
5040 E SHEA BLVD STE 168, SCOTTSDALE, AZ 85254-4686
(480) 483-1025
(480) 483-1026
Mailing address
4602 E SUNSET DR, PHOENIX, AZ 85028-6115
(602) 527-4829
(480) 483-1026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801474
—
AZ
Enumeration date
01/08/2007
Last updated
07/09/2007
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