Individual
MOLLY ROSE SOBERALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(877) 594-9204
Mailing address
815 W JEFFERSON BLVD, FORT WAYNE, IN 46802-4004
(260) 710-0216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002181A
IN
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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