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Organization
LIVING BOLDEN LLC
Active
Organization
LIVING BOLDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WOODCOX BOLDEN LCSW (OWNER)
(312) 779-0730
Entity
Organization
Contact information
Practice address
10 N MARTINGALE RD STE 400, SCHAUMBURG, IL 60173-2411
(312) 779-0730
Mailing address
10 N MARTINGALE RD STE 400, SCHAUMBURG, IL 60173-2411
(312) 779-0730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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