Individual
PATRICIA BOLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5810 W BEVERLY LN, GLENDALE, AZ 85306-1800
(623) 312-3000
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 821-2838
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19077
AZ
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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