Individual
LAURIE MUOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 MATTHEWS ST, GOSHEN, NY 10924-1962
(845) 294-5124
(845) 294-1369
Mailing address
27 MATTHEWS ST, GOSHEN, NY 10924-1962
(845) 294-5124
(845) 294-1369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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