Individual
MS. STEPHANIE MOLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 BRAMHALL STRRET, PORTLAND, ME 04102
(207) 662-2847
(207) 662-6434
Mailing address
66 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-2847
(207) 662-6434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2139
ME
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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