Individual
ALICIA BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Mailing address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2525-M
AR
Other
Enumeration date
07/08/2010
Last updated
10/05/2018
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