Tammy Bolles's National Provider Identifier (NPI) Details
Tammy Bolles, LCSW
NPI: 1669980439
Enumeration Date: 2018-01-16
Last updated: 2018-01-16
Sole Proprietor: YES
Status: active
Postal Address: 1708 OLD RIVER TRL., CHULUOTA, FL
Phone: 305-781-1682
Primary Practice Address: 1708 OLD RIVER TRL, CHULUOTA, FL
Practice's phone: 305-781-1682