Individual
DAVID W BOLDEBOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
222 SAINT JOHN ST, SUITE 246, PORTLAND, ME 04102-3041
(207) 650-6450
Mailing address
24 KING ST, SACO, ME 04072-2821
(207) 284-7793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 6510
ME
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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