Individual
NELLY MOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 W 37TH ST STE 404, HIALEAH, FL 33012-4692
(305) 960-7113
(305) 960-7654
Mailing address
16061 SW 43RD TER, MIAMI, FL 33185-4930
(786) 877-1350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/30/2017
Last updated
12/14/2017
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