Individual
MICHELLE LYNNE MOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4123 M ST, OMAHA, NE 68107-2421
(402) 813-2915
(402) 452-3906
Mailing address
4123 M ST, OMAHA, NE 68107-2421
(402) 813-2915
(402) 452-3906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3118
NE
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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