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Shannon Bolen, MSW
NPI 1023200466 · on the registry since 2007 · sole proprietor
Practice
- Address
- 204 West Hill Blvd.
437th Medical Group/Sgoh
Charleston Afb, SC 29404 - Phone
- (843) 963-6972
- Fax
- (843) 963-6930
- Organisation at this address
- United States Air Force
628th Medgrp-Charleston
628th Medgrp-CharlestonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina