Individual
DONNA BOLME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 1ST ST NW, MANDAN, ND 58554-3113
(303) 513-9111
Mailing address
402 1ST ST NW, MANDAN, ND 58554-3113
(303) 513-9111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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