Individual
MS. TIMECO BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 897-5900
Mailing address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 897-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801089093
MI
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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