Individual
MS. MOLLY CLARE KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MOHAWK DR, LONDONDERRY, NH 03053-3757
(603) 260-6167
(603) 260-6168
Mailing address
10 MOHAWK DR, LONDONDERRY, NH 03053-3757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB385472
NH
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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