Individual
MALISA KOMOLTHITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 GOLDEN MEADOW CT, AMELIA, OH 45102-2635
(562) 265-8222
Mailing address
3865 GOLDEN MEADOW CT, AMELIA, OH 45102-2635
(562) 265-8222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002343A
IN
Other
Enumeration date
04/06/2020
Last updated
10/12/2023
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