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Individual

MRS. MOLLY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6360 CHRISTOPHER CREEK RD W, JACKSONVILLE, FL 32217-2472
(904) 553-5017
Mailing address
400 N BENJAMIN LN, BOISE, ID 83704-5094
(904) 553-5017

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-4907
ID

Other

Enumeration date
06/23/2010
Last updated
08/08/2013
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