Individual
DEANNA DELORES BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
(859) 813-5394
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256147
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001450
KY
Other
Enumeration date
03/11/2025
Last updated
03/23/2026
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