Individual
CYNTHIA MAE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1192 E DRAPER PARKWAY # 447, DRAPER, UT 84020
(562) 544-8654
Mailing address
1192 E DRAPER PKWY # 447, DRAPER, UT 84020-9356
(562) 544-8654
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170190614
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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