Individual
SHARON BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 MARYLAND AVE, BALTIMORE, MD 21218-5612
(410) 752-6850
Mailing address
5506 GIST AVE, BALTIMORE, MD 21215-4506
(443) 802-0488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC9910
MD
172V00000X
Community Health Worker
Primary
LCA1811
MD
Other
Enumeration date
11/14/2014
Last updated
07/29/2020
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