Lisa Bolander, LCSW
Social Worker, Clinical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1124487129
StatusActive
Last updated in NPPESFeb 18, 2016
Details
- NPI
- 1124487129
- Entity type
- Individual (NPI-1)
- Name
- Lisa Bolander
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2016
- Last updated
- Feb 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1568 | CO | Yes |
Practice location
1635 Blue Spruce DrFort Collins, CO 80524-5427
Phone 970-494-4060
Mailing address
120 Bristlecone DrFort Collins, CO 80524-2031
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