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Individual

EILEEN RYAN BOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
Mailing address
258 BLOOMINGDALE RD, QUAKER HILL, CT 06375-1306
(808) 342-7724

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11263
CT
1041C0700X
Clinical Social Worker
LCSW-4247
HI

Other

Enumeration date
07/27/2017
Last updated
12/04/2020
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