VIRGINIA BOLAN

CHAMPAIGN, IL
NPI1477026607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149020864)
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
VIRGINIA BOLAN
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820-7337
Phone number: 217-352-0200
Mailing Address
VIRGINIA BOLAN
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820-7337
Phone number: 217-352-0200
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