Individual
SIERRA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 939-2642
Mailing address
306 KINGSTON TRACE RD, COLUMBIA, SC 29229-7689
(803) 508-6391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16349
SC
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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