Individual
MOLLY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
Mailing address
625 SPRUCE ST, WOOSTER, OH 44691-4602
(419) 610-5136
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005583
OH
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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