Tammy M Bolles, LCSW

NPI #1669980439 in Chuluota, Florida

Provider Information

NPI Number
1669980439
Entity Type
Individual
Name
Tammy M Bolles, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 16, 2018
Last Updated
Jan 16, 2018

Practice Location

Address
1708 OLD RIVER TRL.
State
Florida
ZIP Code
32766-3276
Phone
(305) 781-1682

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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