Individual
DR. MOLLY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
140 DECATUR ST SE, 1053, ATLANTA, GA 30303-3204
(404) 413-6245
Mailing address
1635 BRIARCLIFF ROAD NE, 15, ATLANTA, GA 30306
(678) 637-2482
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003669
GA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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