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Individual
DR. LAURA ROSE BOLTE
Active
Individual
DR. LAURA ROSE BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
129227
KY
103TC0700X
Clinical Psychologist
129227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146114
—
OH
05
—
7100301780
—
KY
Enumeration date
05/15/2006
Last updated
04/08/2019
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