Individual
TWILA SUE MOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS CMS
Contact information
Practice address
1199 DELAWARE AVE STE 107, MARION, OH 43302-7462
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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