Individual
JESSICA LEA BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2856 DUTCHMAN RD, MACFARLAN, WV 26148-6443
(304) 481-6185
Mailing address
2856 DUTCHMAN RD, MACFARLAN, WV 26148-6443
(304) 481-6185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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