Individual
MS. LYNNE ROSE MOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15-1463 AWA AVE, KEAAU, HI 96749
(808) 938-4393
Mailing address
P.O. BOX 1721, KEAAU, HI 96749
(808) 938-4393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
HI-3978
HI
Other
Enumeration date
05/18/2009
Last updated
09/27/2022
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