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Individual

MRS. MOLLY A. VALERIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADTR, LCSW, BCD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.011373
IL
1041C0700X
Clinical Social Worker
Primary
9850
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001873988004
UNITED HEALTH CARE
IL
01
02232773
BLUE CROSS & BLUE SHIELD
IL
01
11461659
CAQH
IL
01
1528149093
NATIONAL PROVIDER IDENTIF
IL
01
169389000
MAGELLAN HEALTH CARE
IL
01
265480
MHN
IL
01
511428
VALUE OPTIONS
IL
01
7242160
AETNA
IL
Enumeration date
10/18/2006
Last updated
10/10/2011
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