Most Relevant Information
Provider Data
| NPI Number: | 1003440405 |
| Provider Name: | MARY ACHOL BOL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2020 |
| Last Updated: | 02/25/2020 |
Provider Practice Location
3436 MARY ELDER RD NE # RS
OLYMPIA
WA
985065050
Practice Location Phone/Fax
| Phone: | 3605282590 |
| Fax: |
Provider Mailing Location
210 ALLEN ORCHARD LN SE
TUMWATER
WA
985015412
Provider Mailing Phone/Fax
| Phone: | 3609328288 |
| Fax: |