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Individual

MRS. MIRINDA A BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
914 RICHLAND ST STE B101, COLUMBIA, SC 29201-2357
(803) 403-8469
(803) 403-9979
Mailing address
914 RICHLAND ST STE B101, COLUMBIA, SC 29201-2357
(803) 403-8469
(803) 403-9979

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5611
SC

Other

Enumeration date
11/12/2013
Last updated
02/07/2017
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