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1093909988
ELIJAH BOLTON
EDMONDS, WA
NPI
1093909988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA RC00058756)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
ELIJAH BOLTON
19207 80TH PL W
EDMONDS, WA 98026-6218
Phone number: 425-697-4201
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Mailing Address
ELIJAH BOLTON
19207 80TH PL W
EDMONDS, WA 98026-6218
Phone number:
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