Individual
MR. CLARENCE GEORGE BOLDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LLMFT
Contact information
Practice address
901 CHIPPEWA ST, FLINT, MI 48503-1570
(810) 232-9950
Mailing address
5361 SEQUOIA CT, GRAND BLANC, MI 48439-3502
(810) 742-4341
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L1469109
MI
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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