Individual
MICHEAL STEVEN BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6000 HOSPITAL DRIVE, HANNIBAL, MO 63401
(573) 248-1300
Mailing address
2354 COUNTY ROAD 108, DURHAM, MO 63438
(573) 439-5811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002374
MO
Other
Enumeration date
08/14/2006
Last updated
07/09/2007
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