Individual
MOLLIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2681 ROCKY RIDGE LN, VESTAVIA HILLS, AL 35216-4809
(205) 831-8132
Mailing address
2681 ROCKY RIDGE LN, VESTAVIA HILLS, AL 35216-4809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4501C
AL
Other
Enumeration date
11/17/2020
Last updated
12/05/2023
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