Individual
TAMBLIA SHAWON BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1547 PARKWAY, SUITE 100, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 229-5526
Mailing address
1547 PARKWAY, SUITE 100, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 229-5526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
204367
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
09/09/2013
Last updated
09/09/2013
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