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Individual
MOLLY O TOMONY
Active
Individual
MOLLY O TOMONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2281
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2281
LICENSED PROFESSIONAL COUNSELOR
WI
05
—
40935100
—
WI
01
—
94-123
ART THERAPIST, REGISTERED AND BOARD CERTIFIED
WI
Enumeration date
05/19/2008
Last updated
05/19/2008
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