Individual
MOLLY T ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPS, M.ED
Contact information
Practice address
1810 KAYDENCE LN, ARDMORE, OK 73401-4039
(402) 689-9395
Mailing address
1810 KAYDENCE LN, ARDMORE, OK 73401-4039
(402) 689-9395
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
441473
OK
Other
Enumeration date
10/23/2024
Last updated
12/02/2024
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