Individual
ALEXANDRA MARIE BOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
195 DANBURY RD STE B210, WILTON, CT 06897-6013
(203) 913-4713
Mailing address
70 LAKEVIEW DR, FAIRFIELD, CT 06825-2523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009376
CT
Other
Enumeration date
08/04/2017
Last updated
03/07/2023
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