Individual
DR. CAROLYN VIRGINIA BOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4001 KING AVE, CORCORAN, CA 93212
(559) 992-8800
Mailing address
PO BOX 948, HANFORD, CA 93232-0948
(559) 589-1361
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY16230
CA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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