Individual
AUNICA LORRAINE BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
515 QUARTZ ST, ONTONAGON, MI 49953-1115
(906) 884-4804
Mailing address
515 QUARTZ ST, ONTONAGON, MI 49953-1115
(906) 884-4804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110315
MI
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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