MS. Shannon L Bolen, MSW
NPI #1023200466 in Charleston Afb, South Carolina
Provider Information
- NPI Number
- 1023200466
- Entity Type
- Individual
- Name
- MS. Shannon L Bolen, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Aug 9, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 204 WEST HILL BLVD.
- Address 2
- 437TH MEDICAL GROUP/SGOH
- City
- Charleston Afb
- State
- South Carolina
- ZIP Code
- 29404-4704
- Phone
- (843) 963-6972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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