Individual
JUDITH MOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
345 COTTAGE RD, SOUTH PORTLAND, ME 04106-3919
(207) 767-2500
Mailing address
27 MERRIMAC PL, CAPE ELIZABETH, ME 04107-1624
(207) 767-3096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4856
ME
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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