Individual
CARMEN BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7701 SW 90TH AVE, MIAMI, FL 33173-3481
(908) 380-8105
Mailing address
7701 SW 90TH AVE, MIAMI, FL 33173-3481
(908) 380-8105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05572200
NJ
1041C0700X
Clinical Social Worker
Primary
SW12936
FL
Other
Enumeration date
08/17/2011
Last updated
11/27/2015
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