Individual
MS. ANNE B MAHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 W MARKET ST STE 400, FAIRLAWN, OH 44333-2665
(330) 668-4041
(330) 666-5626
Mailing address
461 STARLING CT APT 310, WADSWORTH, OH 44281-7925
(330) 472-6597
(330) 666-5626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12144215
MD
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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