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Individual

MARY KATHERINE BOLEWARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW #16305

Contact information

Practice address
2640 CANAL ST STE 4, NEW ORLEANS, LA 70119-6448
(504) 821-2232
Mailing address
2640 CANAL ST STE 4, NEW ORLEANS, LA 70119-6448
(504) 821-2232

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16305
LA

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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