Individual
TERRYL A BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1120 LARAMIE DR, BISMARCK, ND 58504-6373
(701) 222-1952
Mailing address
513 E BISMARCK EXPY, BISMARCK, ND 58504-6577
(701) 255-2773
(701) 255-6261
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3104
ND
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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