Individual
MS. KEIRYAN ASHLEIGH BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6170 HUNT CLUB RD, ELKRIDGE, MD 21075-5518
(443) 328-3088
Mailing address
6030 MARSHALEE DR STE 712, ELKRIDGE, MD 21075-6086
(443) 328-3088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21778
MD
Other
Enumeration date
06/03/2016
Last updated
06/30/2020
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