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Individual
HALIE BOLEN
Active
Individual
HALIE BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.183630
OH
1041C0700X
Clinical Social Worker
Primary
S.2309208
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42-3755768
—
OH
Enumeration date
09/16/2020
Last updated
07/13/2026
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