Provider Information for 1972265395
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DONNA E BOLINGER LCSW
Sex: Female
NPI: 1972265395
Last Updated: 2025-01-27
Certification Date: 2025-01-27
Certification Date: 2025-01-27
Details
| Name | Value | ||||||||||||
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| NPI | 1972265395 | ||||||||||||
| Enumeration Date | 2021-10-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 596 ORCHARD RD ORRTANNA, PA 17353-9402 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 3298 RIDGE RD BLOOMSBURG, PA 17815-7932 United States Phone: 718-506-1115 | Fax: | ||||||||||||
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