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Individual

URBAN RICHARD BOLAND JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1169 EASTERN PKWY, SUITE 1147, MEDICAL ARTS BLDG., LOUISVILLE, KY 40217-1417
(502) 451-9222
(502) 451-4499
Mailing address
318 S BIRCHWOOD AVE, LOUISVILLE, KY 40206-2632
(502) 384-4844

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1822
KY

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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