Individual
MRS. BREANNA LYNN BOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L-LMSW
Contact information
Practice address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Mailing address
2353 BADGER STREET, 2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801120588
MI
Other
Enumeration date
06/06/2023
Last updated
10/23/2025
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