Individual
MR. LOGAN J BOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1301 E 12TH ST, WILMINGTON, DE 19802-5315
(302) 429-7731
Mailing address
9 AUGUSTA DR, ELKTON, MD 21921-8334
(302) 598-8722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0011872
DE
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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