Individual
MRS. BETTY JEAN BOLLENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
195 N GRANT AVE STE 250, COLUMBUS, OH 43215-2855
(888) 522-9174
Mailing address
195 N GRANT AVE STE 250, COLUMBUS, OH 43215-2855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2105777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
02/03/2021
Last updated
11/08/2021
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