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Shelby H Bollenbacher, LCSW

Social Worker, Clinical in Glendora, CA. Individual provider (NPI-1).

NPI number1134418007
StatusActive
Last updated in NPPESJan 6, 2022

Details

NPI
1134418007
Entity type
Individual (NPI-1)
Name
Shelby H Bollenbacher
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2011
Certification date
Jan 6, 2022
Last updated
Jan 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCSW81137CAYes

Practice location

1160 S Grand Ave
Glendora, CA 91740-5000

Phone 626-335-5980 · Fax 626-335-5989

Mailing address

1160 S Grand Ave
Glendora, CA 91740-5000

Phone 626-335-5980 · Fax 626-335-5989

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