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Individual

MOLLY HARTSHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2829 ROYAL AVE STE 200, MONONA, WI 53713-1535
(812) 499-6185
Mailing address
4910 MARATHON DR, MADISON, WI 53705-4832
(812) 499-6185

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9416
WI

Other

Enumeration date
12/11/2020
Last updated
12/11/2020
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