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Individual

MRS. BETTY JO BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
200 BOSTON AVE STE 1900, MEDFORD, MA 02155-4257
(781) 306-1180
(781) 306-1190
Mailing address
200 BOSTON AVE STE 1900, MEDFORD, MA 02155-4257
(781) 306-1180
(781) 306-1190

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106756
MA

Other

Enumeration date
06/15/2007
Last updated
07/08/2007
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