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Individual
RYAN GRIFFIN BOLDING
Active
Individual
RYAN GRIFFIN BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CB61032862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61536317
WA
1041C0700X
Clinical Social Worker
SC6105316
WA
106S00000X
Behavior Technician
CB61032862
WA
Other
Enumeration date
02/18/2020
Last updated
09/11/2024
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