Individual
G BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 O ST NW, WASHINGTON, DC 20007-2843
(202) 282-0170
Mailing address
3219 O ST NW, WASHINGTON, DC 20007-2843
(202) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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