Individual
MRS. DEANNE RENEE' BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17515 W 9 MILE RD STE 755, SOUTHFIELD, MI 48075-4422
(248) 499-4312
(248) 721-4936
Mailing address
29323 CANDLEWOOD LN, SOUTHFIELD, MI 48076-1867
(248) 445-1801
(313) 251-2774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093858
MI
Other
Enumeration date
03/07/2013
Last updated
05/01/2025
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