Individual
MOLLY MARIE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4129 S MEADOWS RD APT 2023, SANTA FE, NM 87507-2711
(310) 981-7459
Mailing address
4129 S MEADOWS RD APT 2023, SANTA FE, NM 87507-2711
(310) 981-7459
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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