Provider Demographics
NPI:1477397396
Name:ALEXANDER, MOLLY ARLENE (MBA, MM, LSW)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ARLENE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MBA, MM, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10743 LIBERTY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9695
Mailing Address - Country:US
Mailing Address - Phone:330-407-7896
Mailing Address - Fax:
Practice Address - Street 1:10743 LIBERTY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9695
Practice Address - Country:US
Practice Address - Phone:330-407-7896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care