Individual
MRS. BROOKE HELEN MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 PINE ST, JAMESTOWN, NY 14701-5384
(716) 579-5270
Mailing address
500 PINE ST, JAMESTOWN, NY 14701-5384
(716) 579-5270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
080721-1
NY
1041C0700X
Clinical Social Worker
Primary
080721-1
NY
Other
Enumeration date
05/26/2011
Last updated
04/23/2015
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