Individual
ASHLEY BOLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
836 FARMINGTON AVE, SUITE 221, WEST HARTFORD, CT 06119
(860) 986-6865
Mailing address
169 CANDLEWOOD DRIVE, SOUTH WINDSOR, CT 06088-9750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
10/20/2010
Last updated
01/25/2017
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