Individual
CHYNNE KIERRA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
3541 DAYTON XENIA RD, DAYTON, OH 45432-2824
(937) 219-0219
Mailing address
5574 LEIBOLD DR, DAYTON, OH 45424-3831
(937) 219-0219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903964
OH
Other
Enumeration date
07/12/2019
Last updated
06/22/2023
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