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Individual

MR. MARTIN PAUL BOLDIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, MLADC

Contact information

Practice address
1 REUBENS DRIFTWAY, HAMPTON, NH 03842-2389
(603) 785-0785
Mailing address
1 REUBENS DRIFTWAY, HAMPTON, NH 03842-2389
(603) 785-0785

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0512
NH
1041C0700X
Clinical Social Worker
Primary
1021
NH

Other

Enumeration date
03/10/2015
Last updated
03/10/2015
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