Individual
ALI BOLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 CLARK AVE, BRANFORD, CT 06405-4706
(978) 697-7048
Mailing address
350 CLARK AVE, BRANFORD, CT 06405-4706
(978) 697-7048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006504
CT
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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