Individual
MOLLY IVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
36 JOHN ST, WILLIMANTIC, CT 06226-3304
(360) 701-1427
Mailing address
36 JOHN ST, WILLIMANTIC, CT 06226-3304
(360) 701-1427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9023
CT
Other
Enumeration date
10/12/2023
Last updated
04/09/2025
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