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Individual

MOLLY DEPEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
151 FROST PARKWAY, TIFFIN, OH 44883
(567) 207-7226
Mailing address
151 FROST PARKWAY, TIFFIN, OH 44883

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21597246
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21597246
OH
Enumeration date
11/18/2022
Last updated
11/18/2022
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