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Individual

MRS. MELISSA DAWN BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 NICHOLSON DR APT 10, BATON ROUGE, LA 70802-8135
(225) 324-9360
Mailing address
22001 NORTHPARK DR STE 400, KINGWOOD, TX 77339-3809
(381) 223-5300

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4843
TX
222Q00000X
Developmental Therapist

Other

Enumeration date
05/15/2015
Last updated
05/10/2023
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