ELIJAH BOLTON

EDMONDS, WA
NPI1093909988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00058756)
Enumeration Date2007-09-04
Last Update Date2007-09-04
Business Address
-- ELIJAH BOLTON
19207 80TH PL W
EDMONDS, WA 98026-6218
Phone number: 425-697-4201
Mailing Address
-- ELIJAH BOLTON
19207 80TH PL W
EDMONDS, WA 98026-6218
Phone number:
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