Individual
MS. MELANIE ANN BOLDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS IN EDUACATION
Contact information
Practice address
12143 HIGHWAY 82A, TAHLEQUAH, OK 74464-6274
(918) 456-2884
Mailing address
12143 HIGHWAY 82A, TAHLEQUAH, OK 74464-6274
(918) 456-2884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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