Individual
MICHELLE H. BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
744 ROOSEVELT TRL STE 302A, WINDHAM, ME 04062-5281
(207) 892-7797
(207) 892-7797
Mailing address
744 ROOSEVELT TRL STE 302A, WINDHAM, ME 04062-5281
(207) 892-7797
(207) 892-7797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4444
ME
Other
Enumeration date
08/08/2006
Last updated
10/20/2009
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