Individual
MATTHEW DAVID BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 28TH ST FL 6, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
(612) 863-2596
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26492
MN
Other
Enumeration date
05/27/2021
Last updated
05/18/2022
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