Individual
ANONA MULLINS WILLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
176 W UNION ST, MANTI, UT 84642-1357
(435) 851-6939
Mailing address
176 W UNION ST, MANTI, UT 84642-1357
(435) 851-6939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7070640-4102
UT
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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