Individual
MOLLIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 GRANDVIEW DR W, UNIVERSITY PLACE, WA 98466-2138
(253) 566-5600
Mailing address
3717 GRANDVIEW DR W, UNIVERSITY PLACE, WA 98466-2138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589319C
INITIAL EDUCATIONAL STAFF ASSOCIATE
WA
Enumeration date
07/06/2022
Last updated
07/06/2022
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