MICHAEL BOLAN

TAYLOR, MI
NPI1457625246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801070098)
Enumeration Date2012-02-27
Last Update Date2012-03-01
Business Address
-- MICHAEL BOLAN LMSW
21751 ECORSE RD
TAYLOR, MI 48180-1846
Phone number: 313-406-4493
Mailing Address
-- MICHAEL BOLAN LMSW
21751 ECORSE RD
TAYLOR, MI 48180-1846
Phone number: 313-406-4493