Individual
MOLLY MCCLELLAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 WATAUGA ST, KINGSPORT, TN 37660-4560
(423) 726-1126
Mailing address
1029 WATAUGA ST, KINGSPORT, TN 37660-4560
(423) 726-1126
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2913
TN
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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