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Individual
MOLLY S VAN WERT
Active
Individual
MOLLY S VAN WERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117182
MA
1041C0700X
Clinical Social Worker
S65948197
MA
Other
Enumeration date
09/19/2008
Last updated
03/28/2013
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