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Individual

CATHERINE LEA BOLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
574 STATE HIGHWAY 248, STE 2, BRANSON, MO 65616-7740
(417) 239-1389
(417) 332-8680
Mailing address
574 STATE HIGHWAY 248, STE 2, BRANSON, MO 65616-7740
(417) 239-1389
(417) 332-8680

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001757
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346412327
MO
Enumeration date
07/11/2008
Last updated
07/11/2008
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