Organization
MOLLY LUCKNER LISW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LUCKNER LISW (CLINICAL SOCIAL WORKER)
(330) 704-5377
Entity
Organization
Contact information
Practice address
3680 EISENHOWER RD, COLUMBUS, OH 43224-2626
(330) 704-5377
Mailing address
3680 EISENHOWER RD, COLUMBUS, OH 43224-2626
(330) 704-5377
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I1200474
OH
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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