Individual
DR. JOLENE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33600 6TH AVE S, SUITE #108, FEDERAL WAY, WA 98003-6743
(253) 661-2502
Mailing address
14106 SE 278TH ST, KENT, WA 98042-7406
(253) 630-5502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002702
WA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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