Individual
TAMEKIA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
(864) 520-1614
Mailing address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-205776
SC
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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