Individual
LACEY DONN MOLLOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S WINSTEAD AVE # 3419, ROCKY MOUNT, NC 27804-3419
(252) 443-7666
Mailing address
10947 CONNALLY LN, RALEIGH, NC 27614-8337
(828) 320-3547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14660
NC
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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