Individual
EMILY MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 295-2609
Mailing address
2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303-5283
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60289
NC
Other
Enumeration date
06/07/2021
Last updated
09/08/2021
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