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Organization

JOSEPH BOLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH BOLAND LCSW (THERAPIST)
(406) 866-0981
Entity
Organization

Contact information

Practice address
1604 CENTRAL AVE, GREAT FALLS, MT 59401-3838
(406) 866-0981
Mailing address
1604 CENTRAL AVE, GREAT FALLS, MT 59401-3838

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
415
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500-191
MT
Enumeration date
01/19/2010
Last updated
01/19/2010
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