Individual
MRS. MOLLY JOAN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP, NCSP
Contact information
Practice address
2330 PROFESSIONAL DR STE 100, ROSEVILLE, CA 95661-7781
(530) 263-3206
(916) 786-5487
Mailing address
15240 LEWIS RD, NEVADA CITY, CA 95959-9434
(530) 263-3206
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3003
CA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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