Individual
MOLLIE ULSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 W 7TH ST, HERMANN, MO 65041-1216
(573) 486-3197
Mailing address
328 W 7TH ST, HERMANN, MO 65041-1216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016020628
MO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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