Individual
DEANN LYNN BOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 COMMERCIAL ST, ATCHISON, KS 66002-2418
(913) 360-0129
Mailing address
1108 SUMMERFIELD CT, ATCHISON, KS 66002-9548
(913) 426-6971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
767
KS
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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