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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHANNON L BOLEN, MSW

Active Sole Proprietor

MS. SHANNON L BOLEN, MSW is a Clinical Social Worker healthcare provider located in CHARLESTON AFB, South Carolina. NPI 1023200466 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHARLESTON AFB, SC

Registration Details

NPI Number
1023200466
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2007 (18.972553521005 yrs)
Last Updated
Sep 13, 2007
License
20642 (CA)
Sole Proprietor
Yes

Practice Information

Address
204 WEST HILL BLVD.
437TH MEDICAL GROUP/SGOH
CHARLESTON AFB, SC, 294044704
Browse SC providers · Browse ZIP 29404
Phone
8439636972
Fax
8439636930
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHARLESTON AFB, SC

Name Credential NPI
MRS. JANICE M. WILLIAMS MSW 1164445805
MRS. PATRICIA JOY FINKENBERG LCSW 1720090426
TRESLYN Y TOLBERT LISW-CP 1104958578
MR. CHAD ROBERT WILLIAMS LCSW 1043496623
KRYSTAL HASSELVANDER MSW, LISW 1952857393
SHANE PAUL FLETCHER LCSW 1942935036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.