Mary Alice Bolin

NPI #1831608694 in Coalinga, California

Provider Information

NPI Number: 1831608694
Entity Type: Individual
Name: Mary Alice Bolin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 25, 2017
Last Updated: Sep 25, 2017

Practice Location

Address: 24511 W JAYNE AVE
City: Coalinga
State: California
ZIP Code: 93210-9503
Phone: (559) 935-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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