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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MOLLIE D LACKEY, LISW-S

Active

MRS. MOLLIE D LACKEY, LISW-S is a Clinical Social Worker healthcare provider located in PEDRO, Ohio. NPI 1316117831 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEDRO, OH

Registration Details

NPI Number
1316117831
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2008 (18.42534855768 yrs)
Last Updated
Jul 21, 2022
Licenses
S-0028697 (OH)
1100136-SUPV (OH)

Practice Information

Address
115 PRIVATE ROAD 977
PEDRO, OH, 456598608
Browse OH providers · Browse ZIP 45659
Phone
7405341386
Fax
7405341497
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.