Individual
MRS. MYRTA IVIS MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E DIAMOND AVE STE 100A, GAITHERSBURG, MD 20877-5321
(301) 300-9278
Mailing address
18717 CALYPSO PL, GAITHERSBURG, MD 20879-1552
(301) 300-9278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10535
MD
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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