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Individual

MOLLY PERKINS HAUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3900 DECATUR AVE, KENSINGTON, MD 20895-1531
(301) 881-4884
(301) 881-5447
Mailing address
3900 DECATUR AVE, KENSINGTON, MD 20895-1531
(301) 949-0178
(301) 881-5447

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
02128
MD
103TC0700X
Clinical Psychologist
Primary
02128
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101600800
MD
Enumeration date
12/18/2006
Last updated
12/11/2024
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