Female

Molly Diana

Art Therapist in Clawson, MI(View on Map)

Full Name

Molly Diana

NPI Number

1295207389

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/30/2018

Specialties

(Taxonomies)

Code

221700000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

11-056

Contact
Information

Purpose

Mailing
Location

Address

432 CHARLEVOIX ST
432 CHARLEVOIX ST

City

Clawson
Clawson

State

MI
MI

Postal Code

48017-2036
48017-2036

Country

US
US

Telephone Number

(248) 470-2063
(248) 470-2063

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2018

Provider Address