Provider Information for 1922733658
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DENISE MOLLO LCSW
Sex: Female
NPI: 1922733658
Last Updated: 2022-07-18
Certification Date: 2022-07-18
Certification Date: 2022-07-18
Details
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NPI | 1922733658 | ||||||||
Enumeration Date | 2022-07-18 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 23 NW 18TH ST DELRAY BEACH, FL 33444-3122 United States Phone: 561-504-6865 | Fax: | ||||||||
Primary Practice Address | 23 NW 18TH ST DELRAY BEACH, FL 33444-3122 United States Phone: 561-504-6865 | Fax: | ||||||||
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