Individual
MISS BRIDGET ANN BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014015191
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013271758
—
MO
Enumeration date
06/27/2012
Last updated
09/17/2024
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