Individual
MRS. LAUREN MOLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
201 CEDAR AVE, ST CHARLES, IL 60174-2025
(847) 915-1372
Mailing address
201 CEDAR AVE, ST CHARLES, IL 60174-2025
(847) 915-1372
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001185
IL
Other
Enumeration date
08/10/2016
Last updated
02/08/2019
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