MEDICARE: DR. VERONICA MOLINA DSW, LCSW

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
1	1041C0700X	Clinical Social Worker	103569	TX

General Provider Information

NPI Number	:	1174206486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERONICA MOLINA DSW, LCSW

Provider Business Mailing Address
First Line	:	2023 PURPLE MARTIN DR
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 PURPLE MARTIN DR
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4348
Country	:	US
Telephone Number	:	956-472-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	08/11/2023

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