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Individual

JANNA MARIE BOLINGBROKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1760 E PECOS RD STE 344, GILBERT, AZ 85295-3208
(602) 403-1676
Mailing address
1760 E PECOS RD STE 344, GILBERT, AZ 85295-3208
(602) 403-1676

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4995004-3501
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-22398
AZ

Other

Enumeration date
08/26/2019
Last updated
07/08/2025
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