Individual
MRS. DANIELLE CHRISTINE BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05846500
NJ
1041C0700X
Clinical Social Worker
Primary
10885
CT
Other
Enumeration date
12/02/2013
Last updated
03/16/2020
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