Individual
MOLLY PATRICIA DILLON CZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW, LCSW
Contact information
Practice address
2829 ROYAL AVE, SUITE 200, MONONA, WI 53713-1535
(608) 661-2829
Mailing address
2829 ROYAL AVE, SUITE 200, MONONA, WI 53713-1535
(608) 661-2829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128282-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720411101
—
WI
Enumeration date
08/20/2013
Last updated
04/11/2017
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