Individual
DIANA BOLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
8200 BROOKRIVER DR STE N503, DALLAS, TX 75247-4037
(214) 678-0507
(214) 678-0766
Mailing address
8200 BROOKRIVER DR STE N503, DALLAS, TX 75247-4037
(214) 678-0507
(214) 678-0766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00973
TX
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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