Individual
COOPER MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 576-1308
(310) 576-1027
Mailing address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 576-1308
(310) 576-1027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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