Most Relevant Information
Provider Data
NPI Number: | 1003313792 |
Provider Name: | JANICE LYNN BOLANDER LMSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 6801094075 |
Most Important Dates
Enumeration Date: | 04/09/2018 |
Last Updated: | 04/09/2018 |
Provider Practice Location
325 E H ST
IRON MOUNTAIN
MI
498014760
Practice Location Phone/Fax
Phone: | 9067743300 |
Fax: | 9067793143 |
Provider Mailing Location
325 E H ST
IRON MOUNTAIN
MI
498014760
Provider Mailing Phone/Fax
Phone: | 9067743300 |
Fax: | 9067793143 |