Individual
MARGO MOLTMAKER
Active
Individual
MARGO MOLTMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6401014008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386004868
—
MI
Enumeration date
07/15/2015
Last updated
07/15/2015
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