Individual
MOLLY LYNN SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. C.F. S.L.P.
Contact information
Practice address
729 W. 35TH ST., MARION, IN 46953
(765) 674-3371
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001693A
IN
Other
Enumeration date
04/24/2007
Last updated
07/31/2023
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