Individual
CAITLYN JOY BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-8754
(715) 468-2841
(715) 468-2374
Mailing address
600 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-8754
(715) 468-2841
(715) 468-2374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8127-226
WI
Other
Enumeration date
11/01/2022
Last updated
10/01/2024
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