TRACIE BOLEN, LMSW

Social Worker

Active Individual
NPI: 1487179172

Practice Address

314 BADIOLA ST
Caldwell, ID 83605

Phone: (208) 454-8389

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes LMSW-36749 (ID)

Frequently Asked Questions

NPI 1487179172 is the National Provider Identifier for TRACIE BOLEN, LMSW, a Social Worker provider located in Caldwell, ID. This NPI was enumerated on August 3, 2017.
TRACIE BOLEN, LMSW practices at 314 BADIOLA ST, Caldwell, ID 83605.

Quick Facts

NPI
1487179172
Type
Individual
Enumerated
Aug 3, 2017
Last Updated
Aug 3, 2017

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