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Individual

MOLLY O TOMONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 327-7268
Mailing address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 327-7268

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2281
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2281
LICENSED PROFESSIONAL COUNSELOR
WI
05
40935100
WI
01
94-123
ART THERAPIST, REGISTERED AND BOARD CERTIFIED
WI
Enumeration date
05/19/2008
Last updated
05/19/2008
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