Individual
ALESHA MARIE BOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MORAIN ST STE 1250, KENNEWICK, WA 99336-2967
(253) 266-8319
Mailing address
500 N MORAIN ST STE 1250, KENNEWICK, WA 99336-2967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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