Individual
ELSIE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1979 LAKESIDE PKWY, SUITE 800, TUCKER, GA 30084-5935
(901) 409-4642
Mailing address
1979 LAKESIDE PKWY, SUITE 800, TUCKER, GA 30084-5935
(901) 409-4642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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