Wrench, Molly

Wrench, Molly is an individual health care provider with primary practice located at 49 Heather Way , Wood River IL 62095-2263. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wrench, Molly can be contacted via phone (630) 639-0238.

Contact Information

Primary practice address
49 Heather Way Wood River IL 62095-2263
Phone: (630) 639-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000000
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1841834157
LBN Legal business name Wrench, Molly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated May 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841834157 NPPES
Illinois MEDICAID 1942279435

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