Shelly Bolstad

NPI #1184025736 in La Crosse, Wisconsin

Provider Information

NPI Number: 1184025736
Entity Type: Individual
Name: Shelly Bolstad
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 12, 2014
Last Updated: Sep 12, 2014

Practice Location

Address: 1308 MISSISSIPPI ST
City: La Crosse
State: Wisconsin
ZIP Code: 54601-4814
Phone: (608) 769-1453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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