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NPI Code Detail

MEDICARE: MOLLIE BALDUS M.A., CCC-SLP

MEDICARE: MOLLIE BALDUS M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist528745MN

General Provider Information

NPI Number : 1154141992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLIE BALDUS M.A., CCC-SLP
Provider Business Mailing Address
First Line : 814 S ORIENT ST
Second Line :
City : FAIRMONT
State : MN
Zip : 56031-4344
Country : US
Telephone Number : 605-569-6013
Fax Number :
Provider Business Practice Location Address
First Line : 515 S MOORE ST
Second Line :
City : BLUE EARTH
State : MN
Zip : 56013-2158
Country : US
Telephone Number : 507-526-7388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 05/26/2026

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Directions to “ MOLLIE BALDUS M.A., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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