Individual
MOLLI CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N WALNUT ST, SPRINGFIELD, IL 62702
(217) 820-5720
Mailing address
215 N WEBSTER ST, TAYLORVILLE, IL 62568-1954
(217) 820-5720
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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