Individual
KELLY ELIZABETH MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 EMERALD DR, DAVENPORT, IA 52804-4214
(630) 818-5082
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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