Individual
OLIVIA BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
H8 QUINCY CIR, DAYTON, NJ 08810-1333
(732) 407-6559
Mailing address
H8 QUINCY CIR, DAYTON, NJ 08810-1333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07458200
NJ
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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