Individual
MRS. JESSICA BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1711 MAIN ST, VANCOUVER, WA 98660-2607
(360) 601-0526
Mailing address
1711 MAIN ST, VANCOUVER, WA 98660-2607
(360) 601-0526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60108262
WA
Other
Enumeration date
03/12/2007
Last updated
04/19/2018
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