| Jodi Mollica Lcsw Llc | |
|
628 E Parent Ave Ste 506 Royal Oak MI 48067-3768 | |
| (248) 321-8684 | |
| Not Available |
| Full Name | Jodi Mollica Lcsw Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 628 E Parent Ave Ste 506, Royal Oak, Michigan |
| Authorized Official Name and Position | Jodi Mollica (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2483218684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Mollica Lcsw Llc 1040 Mohawk Ave Royal Oak MI 48067-3330 Ph: (248) 321-8684 | Jodi Mollica Lcsw Llc 628 E Parent Ave Ste 506 Royal Oak MI 48067-3768 Ph: (248) 321-8684 |
| NPI Number | 1114561941 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114561941 | NPI | - | NPPES |
| 6801091687 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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