Organization
BARBARA R MOLINE, MSW, LCSW. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA R MOLINE MSW (PRESIDENT)
(708) 599-2603
Entity
Organization
Contact information
Practice address
7345 W 100TH PL, SUITE 105, BRIDGEVIEW, IL 60455-2428
(708) 599-2603
(708) 524-8504
Mailing address
7345 W 100TH PL, SUITE 105, BRIDGEVIEW, IL 60455-2428
(708) 599-2603
(708) 524-8504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673606
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/27/2006
Last updated
11/15/2007
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