MS. SHANNON BOLEN, MSW
Social Worker - Clinical
Active
Individual
NPI: 1023200466
Practice Address
204 WEST HILL BLVD.437TH MEDICAL GROUP/SGOH
Charleston Afb, SC 29404
Phone: (843) 963-6972
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 20642 (CA) |
Frequently Asked Questions
NPI 1023200466 is the National Provider Identifier for MS. SHANNON BOLEN, MSW, a Social Worker - Clinical provider located in Charleston Afb, SC. This NPI was enumerated on August 9, 2007.
MS. SHANNON BOLEN, MSW practices at 204 WEST HILL BLVD., 437TH MEDICAL GROUP/SGOH, Charleston Afb, SC 29404.
Quick Facts
- NPI
- 1023200466
- Type
- Individual
- Enumerated
- Aug 9, 2007
- Last Updated
- Sep 13, 2007
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