Individual
MRS. MOLLY J SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6101 16TH ST, RACINE, WI 53406-4467
(262) 637-7486
Mailing address
6808 111TH AVE, KENOSHA, WI 53142-8329
(262) 697-0610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1879-154
WI
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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