Individual
HALEIGH ELIZABETH BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-3341
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67999
TX
Other
Enumeration date
07/31/2023
Last updated
08/02/2024
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