Whalio Doctors

NPI 1316657117

Carolyn Marie Bollinger, LICSW

Practitioner Clinical Social Worker Lake Elmo, MN

Practice location

Address
8550 Hudson Blvd N STE 100, Lake Elmo, MN 55042-8706
Phone
(651) 254-8580
Fax
(651) 254-0601

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 11050-123 (WI)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 28021 (MN)

Registry record

NPI
1316657117
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Dec 2022
Record last updated
2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.