Individual
MAUREEN MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1445 N 4TH ST, NEW RICHMOND, WI 54017-1063
(715) 246-6991
Mailing address
1055 W RIDGE CT, NEW RICHMOND, WI 54017-1465
(715) 441-0751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3896-154
WI
235Z00000X
Speech-Language Pathologist
9161
MN
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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