LARA BOLSOM, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1437461985
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 084269-1 (NY) |
Frequently Asked Questions
NPI 1437461985 is the National Provider Identifier for LARA BOLSOM, LCSW, a Social Worker - Clinical provider located in Fresh Meadows, NY. This NPI was enumerated on July 12, 2010.
LARA BOLSOM, LCSW practices at 6143 186TH ST, Fresh Meadows, NY 11365.
Quick Facts
- NPI
- 1437461985
- Type
- Individual
- Enumerated
- Jul 12, 2010
- Last Updated
- Mar 1, 2017
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