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Organization
SAMUEL T BOLIN JR LCSW-C, LLC
Active
Organization
SAMUEL T BOLIN JR LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL TODD BOLIN JR. LCSW-C (OWNER)
(443) 310-0466
Entity
Organization
Contact information
Practice address
939 ELKRIDGE LANDING RD STE 350, LINTHICUM, MD 21090-2909
(443) 588-8753
Mailing address
1013 BLUEBELLS RD, GAMBRILLS, MD 21054-2059
(443) 310-0466
(443) 231-4331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20697
MD
Other
Enumeration date
06/03/2017
Last updated
11/12/2021
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