Individual
KIELA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
205 W RANDOLPH ST, STE 830, CHICAGO, IL 60606-1867
(312) 834-7239
Mailing address
1451 E 55TH ST, UNIT 227N, CHICAGO, IL 60615-5429
(773) 742-4887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008892
IL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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