Meredith Bolan Therapy, LLC

NPI #1114596277 in La Grange, Illinois

Provider Information

NPI Number: 1114596277
Entity Type: Organization
Organization Name: Meredith Bolan Therapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 23, 2021
Last Updated: Jun 23, 2021

Practice Location

Address: 82 S LA GRANGE RD STE 210
City: La Grange
State: Illinois
ZIP Code: 60525-6348
Phone: (630) 446-0407

Authorized Official

Name: MEREDITH BOLAN
Title: OWNER
Phone: (708) 528-5374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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