| Mr Mario Bolivar Jr, LCSW | |
|
112 Creekside Dr, Dallas, GA 30157-7370 | |
| (678) 237-1269 | |
| Not Available |
| Full Name | Mr Mario Bolivar Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 112 Creekside Dr, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639304934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1214 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3071 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mario Bolivar Jr, LCSW 112 Creekside Dr, Dallas, GA 30157-7370 Ph: (678) 237-1269 | Mr Mario Bolivar Jr, LCSW 112 Creekside Dr, Dallas, GA 30157-7370 Ph: (678) 237-1269 |
Ms. Vivienne Joye Patterson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 Silver Spring St, Dallas, GA 30157 Phone: 678-346-1974 | |
Kimberly Ann Harris, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49 Rippling Stream Trce, Dallas, GA 30132 Phone: 470-891-6038 | |
June Courtney Davis, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 W Memorial Dr, Dallas, GA 30132 Phone: 678-332-7955 Fax: 678-719-7540 | |
Mrs. Jessica Lyn Francis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 110 Evans Mill Dr, Suite 305, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262 | |
Baindu Nallo Akinrotiba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2713 Charles Hardy Pkwy Ste 223, Dallas, GA 30157 Phone: 855-284-7483 Fax: 617-807-0958 | |
Mrs. Carol Huff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Evans Mill Dr Ste 306, Dallas, GA 30157 Phone: 404-500-9177 | |
Angela Nicole Zeigler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3615 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-863-7200 |