Elizabeth Jane Bolt, LCSW

NPI #1528128238 in Norwich, Connecticut

Provider Information

NPI Number: 1528128238
Entity Type: Individual
Name: Elizabeth Jane Bolt, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: SOUTHEASTERN MENTAL HEALTH AUTHORITY 401 W THAMES ST
Address 2: BLDG 301
City: Norwich
State: Connecticut
ZIP Code: 06380
Phone: (860) 859-4674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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