Individual
DANIEL LOUIS BOLOGNA
Active
Individual
DANIEL LOUIS BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060332500
—
FL
01
—
275862
WELLCARE
FL
01
—
62-40039
UNITED HEALTH CARE
FL
Enumeration date
03/16/2007
Last updated
06/09/2009
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