Doctor Name: | MOLLY CATHERINE MCCLURE |
NPI Number: | 1952615767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 17004 |
Business Practice Address: | 2497 7th Ave E Suite 101 North St Paul, MN - 551092902 |
Business Phone Number: | 6517696437 |
Business Fax Number: | 6517696426 |
Mailing Address: | 2497 7th Ave E, Suite 101 NORTH ST PAUL |
State: | MN |
Postal Code: | 551092902 |
Phone Number: | 6517696437 |
Fax Number: | 6517696426 |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |