Individual
MARK BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
8021 FAIRFIELD AVE, SHREVEPORT, LA 71106-5627
(318) 840-2565
Mailing address
8021 FAIRFIELD AVE, SHREVEPORT, LA 71106-5627
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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