Alicia Bolen, LMSW

NPI #1083926968 in Monticello, Arkansas

Provider Information

NPI Number: 1083926968
Entity Type: Individual
Name: Alicia Bolen, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 8, 2010
Last Updated: Oct 5, 2018

Practice Location

Address: 139C E JACKSON AVE
City: Monticello
State: Arkansas
ZIP Code: 71655-4933
Phone: (870) 224-8108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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