Individual
MR. JOHN B BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
107 NORTH POND ROAD, GREENWOOD, SC 29649-9713
(864) 943-3325
Mailing address
107 N POND CT, GREENWOOD, SC 29649-9713
(864) 943-3325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6246
SC
Other
Enumeration date
07/16/2006
Last updated
08/09/2007
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