Individual
ALLYSON SUE BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
743 N MARTIN LUTHER KING JR BLVD, LANSING, MI 48915-2057
(517) 927-8346
Mailing address
1529 ERICA LN, EAST LANSING, MI 48823-2256
(616) 915-6899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092993
MI
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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