Individual
ALICE WARE MOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
901 CASTRO ST, SAN FRANCISCO, CA 94114-3209
(415) 550-8255
Mailing address
1367 DE HARO ST, SAN FRANCISCO, CA 94107-3238
(413) 687-9085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24514
CA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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