Individual
MIKALA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5966 SCOTTSVILLE RD STE 3, BOWLING GREEN, KY 42104-7908
(270) 904-5104
Mailing address
5966 SCOTTSVILLE RD STE 3, BOWLING GREEN, KY 42104-7908
(270) 904-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001620
KY
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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