Individual
MICHAEL BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2720 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-2484
Mailing address
2720 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-2484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7508
KY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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