Wellformed AI

NPI 1508259383 · live from the CMS NPI Registry

Leigh Ann Bolin, MSW, LCSW

Social Worker, Clinical in Dillingham, AK. National Provider Identifier 1508259383, active.

NPI record

NPI1508259383 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location6000 Kanakanak Road, Dillingham, AK 99576
Practice phone907-842-1230
Mailing addressPo Box 130, Dillingham, AK 99576
EnumeratedMarch 18, 2015
Last updatedMarch 18, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X2014041439 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.