TRACIE ANN BOLEN LMSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1487179172- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 314 BADIOLA ST, CALDWELL, ID, 836054389
- Phone
- (208) 454-8389
- Fax
- (208) 454-8404
Specialties & Taxonomies
Social Worker
Primary License: ID #LMSW-36749