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Individual
MR. CLARENCE GEORGE BOLDA JR.
Active
Individual
MR. CLARENCE GEORGE BOLDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LLMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L1469109
MI
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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