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1053459503
THOMAS WAYNE MOLL
EFFINGHAM, IL
NPI
1053459503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.010950)
Enumeration Date
2007-02-04
Last Update Date
2022-10-03
Business Address
Mr. THOMAS WAYNE MOLL LCSW
300 N MAPLE ST
EFFINGHAM, IL 62401-2003
Phone number: 217-342-4151
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Mailing Address
Mr. THOMAS WAYNE MOLL LCSW
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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