Doctor Name: | MRS. MOLLY GEORGE |
NPI Number: | 1265751796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801068018 |
Business Practice Address: | 4736 E M 36 Pinckney, MI - 481699383 |
Business Phone Number: | 8102319591 |
Business Fax Number: | 8102319522 |
Mailing Address: | 7411 Lakefront Estate Dr, BRIGHTON |
State: | MI |
Postal Code: | 481169161 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801068018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |