Individual
CHARIA MONIQUE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
309 WALNUT ST STE B, ST CHARLES, IL 60174-2766
(703) 564-1634
Mailing address
120 E PARK AVE UNIT C, SUGAR GROVE, IL 60554-9102
(630) 803-5682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
IL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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