Individual
MRS. BETH ANN BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
809 SPRING FOREST RD, SUITE 1000, RALEIGH, NC 27609-9700
(919) 649-5882
Mailing address
809 SPRING FOREST RD, SUITE 1000, RALEIGH, NC 27609-9700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007398
—
NC
Enumeration date
07/08/2009
Last updated
01/21/2011
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