Individual
SAMANTHA NICOLE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E FONTANA CIR, DOTHAN, AL 36305-8301
(334) 790-2133
Mailing address
113 E FONTANA CIR, DOTHAN, AL 36305-8301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4128
AL
Other
Enumeration date
08/23/2019
Last updated
07/12/2023
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