Daniel Louis Bologna, LCSW

NPI #1508990896 in Rockledge, Florida

Provider Information

NPI Number: 1508990896
Entity Type: Individual
Name: Daniel Louis Bologna, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 16, 2007
Last Updated: Jun 9, 2009

Practice Location

Address: 840 BREVARD AVE
City: Rockledge
State: Florida
ZIP Code: 32955-2149
Phone: (321) 632-5792

Specialties & Taxonomy Codes

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

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