Michelle H. Bolen, LCSW

NPI #1154330975 in Windham, Maine

Provider Information

NPI Number: 1154330975
Entity Type: Individual
Name: Michelle H. Bolen, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 8, 2006
Last Updated: Oct 20, 2009

Practice Location

Address: 744 ROOSEVELT TRL STE 302A
City: Windham
State: Maine
ZIP Code: 04062-5281
Phone: (207) 892-7797

Specialties & Taxonomy Codes

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

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