Individual
MOLLY JENCZALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 S BARKER CIR APT B, FORT CAMPBELL, KY 42223-3201
(803) 840-7440
Mailing address
7335 S BARKER CIR APT B, FORT CAMPBELL, KY 42223-3201
(803) 840-7440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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