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Individual

MORGAN MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
162 SOLARA DR, WINCHESTER, VA 22602-6881

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007994
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R59705361
BLUE CROSS BLUE SHIELD
Enumeration date
03/19/2019
Last updated
10/14/2022
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