Individual
CAROLYN MARIE BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8550 HUDSON BLVD N STE 100, LAKE ELMO, MN 55042-8706
(651) 254-8580
(651) 254-0601
Mailing address
8550 HUDSON BLVD N STE 100, LAKE ELMO, MN 55042-8706
(651) 254-8580
(651) 254-0601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11050-123
WI
1041C0700X
Clinical Social Worker
28021
MN
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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