Individual
MOLLY MASSELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BLAINE ST, MONROE, GA 30655-2403
(770) 406-6111
Mailing address
109 BLAINE ST, MONROE, GA 30655-2403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70001
GA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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