Individual
KRISTA BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 WASHINGTON ST FL 2, KANSAS CITY, MO 64111-2609
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020007646
MO
1041C0700X
Clinical Social Worker
LSCSW05519
KS
Other
Enumeration date
02/09/2021
Last updated
09/13/2023
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