Individual
JESSICA MULCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
300 N PARK AVE, ELLINWOOD, KS 67526-1452
(620) 564-2548
Mailing address
509 W 5TH ST, ELLINWOOD, KS 67526-1308
(316) 737-2126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14449959
KS
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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