Individual
MOLLY BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
52 W PLEASANT ST, CLAREMONT, NH 03743-3055
(603) 542-2578
Mailing address
21 BEVERLY ST, FORT EDWARD, NY 12828-1525
(802) 688-9518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
01/10/2020
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