Individual
MANDI MOLCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8510 S TEN MILE RD, MARYSVALE, UT 84750
(435) 201-9215
(435) 527-8883
Mailing address
PO BOX 133, MARYSVALE, UT 84750-0133
(435) 201-9215
(435) 527-8883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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