Individual
REBECCA MOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 836-3446
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1655
NE
1041C0700X
Clinical Social Worker
1679
NE
1041C0700X
Clinical Social Worker
Primary
18292
AZ
Other
Enumeration date
10/27/2014
Last updated
03/10/2020
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