Individual
MRS. AUTUMN MOLINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7667
Mailing address
85 NORTHVIEW DR, HIGHLAND, IL 62249-1077
(618) 654-9248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011689
IL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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