Individual
MOLLIE ELIZABETH CUDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
62606 HURRICANE CREEK RD, JOSEPH, OR 97846-8109
(541) 805-1606
Mailing address
62606 HURRICANE CREEK RD, JOSEPH, OR 97846-8109
(541) 805-1606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
07/16/2013
Last updated
01/04/2024
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