Individual
MR. JEREMY CRAIG BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4804 LACEY BLVD SE STE A, LACEY, WA 98503-5733
(360) 799-5782
Mailing address
6049 MERLOT LN SE, LACEY, WA 98513-2243
(253) 335-0607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60970302
WA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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