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Individual

TESS BOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
4201 CONNECTICUT AVE NW, SUITE 300, WASHINGTON, DC 20008-1158
(202) 624-0010
(202) 624-0062
Mailing address
4201 CONNECTICUT AVE NW, SUITE 300, WASHINGTON, DC 20008-1158
(202) 624-0010
(202) 624-0062

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50081401
CT

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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