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NPI Code Detail

MEDICARE: MOLLY E HORNER LSW, LICDC

MEDICARE: MOLLY E HORNER LSW, LICDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1881107035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY E HORNER LSW, LICDC
Provider Business Mailing Address
First Line : 1628 SPRINGFIELD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1430
Country : US
Telephone Number : 888-202-4232
Fax Number :
Provider Business Practice Location Address
First Line : 1628 SPRINGFIELD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1430
Country : US
Telephone Number : 888-202-4232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 09/08/2025

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