Individual
MOLLIE A RUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 6TH AVE SE, LACEY, WA 98503-1039
(360) 259-7179
Mailing address
302 FIR ST NE, OLYMPIA, WA 98506-4638
(316) 558-0484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC70002859
WA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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