Individual
MOLLY RANDALL METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-7077
Mailing address
366 E 6990 S, MIDVALE, UT 84047-1641
(801) 913-2166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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